Basic Information
Provider Information
NPI: 1841630969
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SWEETEN
FirstName: SHARON
MiddleName: LEA
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13300 HARGRAVE RD.
Address2: SUITE 410
City: HOUSTON
State: TX
PostalCode: 77070
CountryCode: US
TelephoneNumber: 2814443278
FaxNumber: 8322493861
Practice Location
Address1: 13300 HARGRAVE RD.
Address2: SUITE 410
City: HOUSTON
State: TX
PostalCode: 77070
CountryCode: US
TelephoneNumber: 2814443278
FaxNumber: 8322493861
Other Information
ProviderEnumerationDate: 07/03/2013
LastUpdateDate: 10/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SF0001X590181TXY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health

No ID Information.


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