MEDICARE: KAITLYN BROOKE SWEET NP

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	363LF0000X	Family Nurse Practitioner	064808-23	NH

General Provider Information

NPI Number	:	1275489304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN BROOKE SWEET NP

Provider Business Mailing Address
First Line	:	16 REYNERS BROOK DR
Second Line	:
City	:	DOVER
State	:	NH
Zip	:	03820-5902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 THE PROVIDENT WAY
Second Line	:
City	:	SEABROOK
State	:	NH
Zip	:	03874
Country	:	US
Telephone Number	:	603-800-8300
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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