MEDICARE: SUSAN CHRISTMAN SWEETING R.N., F.N.P.

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	363L00000X	Nurse Practitioner	200412	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043206063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN CHRISTMAN SWEETING R.N., F.N.P.

Provider Business Mailing Address
First Line	:	PO BOX 32070
Second Line	:	614 HOWARD ST.
City	:	BOONE
State	:	NC
Zip	:	28608-5021
Country	:	US
Telephone Number	:	828-262-3100
Fax Number	:	828-262-6958

Provider Business Practice Location Address
First Line	:	614 HOWARD ST
Second Line	:	APPALACHIAN STATE UNIVERSITY BOX 32070
City	:	BOONE
State	:	NC
Zip	:	28608-5021
Country	:	US
Telephone Number	:	828-262-3100
Fax Number	:	828-262-6958

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	02/26/2015

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