DANA R SULLIVAN MSN RN CPNP-PC NPI 1689124109

NPI Information

NPI: 1689124109
Provider Name: DANA R SULLIVAN, MSN, RN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
593 EDDY ST
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-6680
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Dana R Sullivan, MSN, RN, CPNP-PC is a pediatrics nurse practitioner in Providence, RI. Dana R Sullivan, MSN, RN, CPNP-PC NPI is 1689124109. 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:

593 EDDY ST
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-6680

The enumeration date for this NPI number is 10/7/2016 and was last updated on 7/21/2022.

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	163W00000X	Registered Nurse		1170573	MASSACHUSETTS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	20162082	MASSACHUSETTS	No
3	363LP0200X	Nurse Practitioner	Pediatrics	APRN01627	RHODE ISLAND	Yes

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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