Doctor Name: | MRS. BEA LOU SWEATT |
NPI Number: | 1144375635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 90871 |
Business Practice Address: | 850 Boylston St 402 Chestnut Hill, MA - 024672477 |
Business Phone Number: | 6177329300 |
Business Fax Number: | 6177329500 |
Mailing Address: | 53 Buckingham Rd, QUINCY |
State: | MA |
Postal Code: | 021701916 |
Phone Number: | 6177733594 |
Fax Number: | 6177329500 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 90871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |