JUDITH EILEEN SULLIVAN ANP NPI 1083880181

NPI Information

NPI: 1083880181
Provider Name: JUDITH EILEEN SULLIVAN, ANP
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
223 W STATE ST
BOISE, ID
ZIP 83702
Phone: (208) 343-0436
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Judith Eileen Sullivan, ANP is a psychiatric/mental health clinical nurse specialist in Boise, ID. Judith Eileen Sullivan, ANP NPI is 1083880181. 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:

223 W STATE ST
BOISE, ID
ZIP 83702-013
Phone: (208) 343-0436

The enumeration date for this NPI number is 5/8/2008 and was last updated on 5/8/2008.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	CNS36A	IDAHO	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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