Provider Demographics
NPI:1043206063
Name:SWEETING, SUSAN CHRISTMAN (RN, FNP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:CHRISTMAN
Last Name:SWEETING
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32070
Mailing Address - Street 2:614 HOWARD ST.
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28608-5021
Mailing Address - Country:US
Mailing Address - Phone:828-262-3100
Mailing Address - Fax:828-262-6958
Practice Address - Street 1:614 HOWARD ST
Practice Address - Street 2:APPALACHIAN STATE UNIVERSITY BOX 32070
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28608-5021
Practice Address - Country:US
Practice Address - Phone:828-262-3100
Practice Address - Fax:828-262-6958
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200412363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7961630Medicaid
NCS75952Medicare UPIN
NC7961630Medicaid