Provider Demographics
NPI:1326770405
Name:SWEETIN, JULIE (ARNP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SWEETIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1389 HUFFMAN PARK DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3519
Mailing Address - Country:US
Mailing Address - Phone:888-227-3312
Mailing Address - Fax:503-893-6847
Practice Address - Street 1:1389 HUFFMAN PARK DR STE 110
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3519
Practice Address - Country:US
Practice Address - Phone:888-227-3312
Practice Address - Fax:503-893-6847
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNURR38795363LP2300X
AK195547363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care