Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 95007730 | CA |
NPI | 1003159344 |
---|---|
Provider Name | Zsa Zsa Sweeney |
First Address | San Diego, CA 92110 |
Second Address | San Diego, CA 92110-3850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2013 |
Last Update Date | 16/10/2017 |