| NPI | 1538975552 |
|---|---|
| Former Name | SHANTAEL SWEENEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95033186) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 95033186) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95033186) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95033186) | |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2026-08-17 |