MRS. JOAN E SULLIVAN FNP NPI 1487656278

NPI Information

NPI: 1487656278
Provider Name: MRS. JOAN E SULLIVAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
95 SOLDIERS PASS RD
SUITE A-2
SEDONA, AZ
ZIP 86336
Phone: (602) 508-4843
Get Directions

MRS. Joan E Sullivan, FNP is a family nurse practitioner in Sedona, AZ. MRS. Joan E Sullivan, FNP NPI is 1487656278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

95 SOLDIERS PASS RD
SUITE A-2
SEDONA, AZ
ZIP 86336-781
Phone: (602) 508-4843
Fax: (602) 508-4830

The enumeration date for this NPI number is 8/11/2005 and was last updated on 3/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN170802	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	675919	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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