Provider Demographics
NPI:1750160503
Name:SWEENEY, MARCELLA MARIE
Entity type:Individual
Prefix:
First Name:MARCELLA
Middle Name:MARIE
Last Name:SWEENEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MARCELLA
Other - Middle Name:MARIE
Other - Last Name:HICKOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1280 SUGAR RUN RD
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-9717
Mailing Address - Country:US
Mailing Address - Phone:740-970-7160
Mailing Address - Fax:
Practice Address - Street 1:1280 SUGAR RUN RD
Practice Address - Street 2:
Practice Address - City:PIKETON
Practice Address - State:OH
Practice Address - Zip Code:45661-9717
Practice Address - Country:US
Practice Address - Phone:740-970-7160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide