Provider Demographics
NPI:1902512098
Name:SWEENEY, LIANE SCARLETT (FNP-C)
Entity type:Individual
Prefix:
First Name:LIANE
Middle Name:SCARLETT
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 SINGER RD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1617
Mailing Address - Country:US
Mailing Address - Phone:443-977-0859
Mailing Address - Fax:
Practice Address - Street 1:2315 BEL AIR RD STE C1
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2741
Practice Address - Country:US
Practice Address - Phone:443-966-3900
Practice Address - Fax:443-966-3901
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR222821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily