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NPI Code Detail

MEDICARE: MS. MARY ANN SWEENEY N.P.

MEDICARE: MS. MARY ANN SWEENEY 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
1363L00000XNurse Practitioner126492MO

General Provider Information

NPI Number : 1427033679
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ANN SWEENEY N.P.
Provider Business Mailing Address
First Line : 9415 WORKBENCH DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63127-1648
Country : US
Telephone Number : 314-775-9042
Fax Number :
Provider Business Practice Location Address
First Line : 4352 MANCHESTER AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2138
Country : US
Telephone Number : 314-531-5444
Fax Number : 314-531-0063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 07/16/2021

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Directions to “ MS. MARY ANN SWEENEY N.P.” Practice Location

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