Healthcare Provider Details

I. General information

NPI: 1306431507
Provider Name (Legal Business Name): CARRIE SUE SWEET DNP, APRN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6739 24TH AVE NE BLDG 2402
MOSES LAKE WA
98837-3243
US

IV. Provider business mailing address

47 F ST SW
EPHRATA WA
98823-1830
US

V. Phone/Fax

Practice location:
  • Phone: 509-289-0981
  • Fax: 509-762-6737
Mailing address:
  • Phone: 509-289-0981
  • Fax: 509-762-6737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number11813323
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number55803
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAP61157772
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number55803
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: