Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | SP009254 | PA |
N | 363LN0000X | Nurse Practitioner - Neonatal | SP009254 | PA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | SP009254 | PA |
NPI | 1114087319 |
---|---|
Provider Name | Ms. Caroline M. Sweeney |
First Address | Rockland, DE 19732-0191 |
Second Address | Philadelphia, PA 19107-4824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 03/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0121533 | (05) | NJ |
4119843 | (05) | MD |
Q76817 | (02) |