Healthcare Provider Details
I. General information
NPI: 1184788895
Provider Name (Legal Business Name): PHILIP SWEET NP MSN APRN BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1501 W. CHISHOLM
ALPENA MI
49707
US
IV. Provider business mailing address
PO BOX 11 2093 PARTRIDGE PT RD
ALPENA MI
49707-5122
US
V. Phone/Fax
- Phone: 989-356-7379
- Fax:
- Phone: 989-356-9691
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | MDAC101986 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 4704107033 |
| License Number State | MI |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0808X |
| Taxonomy | Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: