Doctor Name: | MRS. STEPHANIE MONDO SWEENY |
NPI Number: | 1619103744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 08351 |
Business Practice Address: | 4041 Northfield Rd Highland Hills, OH - 441227001 |
Business Phone Number: | 2167656968 |
Business Fax Number: | |
Mailing Address: | 3685 Windsong Ct, WESTLAKE |
State: | OH |
Postal Code: | 441455484 |
Phone Number: | 4407791682 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2009 |
NPI Last Update Date: | 06/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 08351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |