Individual
MS. EMILY KATHLEEN SWEETRA
Active
Individual
MS. EMILY KATHLEEN SWEETRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2277225
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101668A
—
MA
01
—
S400202054
MEDICARE
MA
Enumeration date
12/19/2014
Last updated
11/05/2021
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