MR. RONIN ANTHONY SULLIVAN NPI 1104408285

NPI Information

  • NPI: 1104408285
  • Provider Name: MR. RONIN ANTHONY SULLIVAN
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 17858 E 54TH AVE
    DENVER, CO
    ZIP 80249
  • Phone: (850) 543-7434

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NPI Details

MR. Ronin Anthony Sullivan is a student in an organized health care education training program in Denver, CO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Ronin Anthony Sullivan NPI is 1104408285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17858 E 54TH AVE
DENVER, CO
ZIP 80249-819
Phone: (850) 543-7434

The enumeration date for this NPI number is 4/27/2021 and was last updated on 4/27/2021.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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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