Doctor Name: | CARLA M SWEETRA |
NPI Number: | 1003872029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 236496NP |
Business Practice Address: | 50 Prospect St Suite 505 Lawrence, MA - 018412841 |
Business Phone Number: | 9787948119 |
Business Fax Number: | 9787949912 |
Mailing Address: | 1785 Salem St, NORTH ANDOVER |
State: | MA |
Postal Code: | 018453318 |
Phone Number: | 9786830526 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 02/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 236496NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |