JUDITH EILEEN SULLIVAN ANP NPI 1083880181

NPI Information

  • NPI: 1083880181
  • Provider Name: JUDITH EILEEN SULLIVAN, ANP
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 223 W STATE ST
    BOISE, ID
    ZIP 83702
  • Phone: (208) 343-0436

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NPI Details

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
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthCNS36AIDAHOYes

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: 11/21/2025

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