Individual
MRS. DEANNA SUE SWEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2829
(417) 820-8852
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132715
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2011022957
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407147663
—
MO
Enumeration date
04/22/2011
Last updated
09/16/2013
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