Provider Demographics
NPI:1801835392
Name:SWEENEY, JOAN F (RNP)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:F
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:352 LAFAYETTE ST
Mailing Address - Street 2:HEALTH SERVICES
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-5348
Mailing Address - Country:US
Mailing Address - Phone:978-542-6413
Mailing Address - Fax:978-542-7121
Practice Address - Street 1:352 LAFAYETTE ST
Practice Address - Street 2:HEALTH SERVICES
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-5348
Practice Address - Country:US
Practice Address - Phone:978-542-6413
Practice Address - Fax:978-542-7121
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2014-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA185113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0345300Medicaid
MANP2549Medicare ID - Type Unspecified
MA0345300Medicaid