Doctor Name: | JEANNETTE LOIS SWEITZER |
NPI Number: | 1053306647 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R083333 |
Business Practice Address: | 130 W High St Hancock, MD - 217501143 |
Business Phone Number: | 3016787256 |
Business Fax Number: | 3016786396 |
Mailing Address: | 109 Rayloc Dr, HANCOCK |
State: | MD |
Postal Code: | 217501518 |
Phone Number: | 3016785187 |
Fax Number: | 3016785797 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | R083333 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |