MEDICARE: MS. VICTORIA MARIE SWEENEY PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11034511	FL

General Provider Information

NPI Number	:	1760298756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VICTORIA MARIE SWEENEY PMHNP-BC

Provider Business Mailing Address
First Line	:	9332 STATE ROAD 54 STE 307
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1810
Country	:	US
Telephone Number	:	833-769-3524
Fax Number	:	727-478-4966

Provider Business Practice Location Address
First Line	:	9332 STATE ROAD 54 STE 307
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1810
Country	:	US
Telephone Number	:	727-999-3311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2024
Last Update Date	:	01/05/2026

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