CALLIE REBECCA SULLIVAN DNP ARNP NPI 1265051767

NPI Information

NPI: 1265051767
Provider Name: CALLIE REBECCA SULLIVAN, DNP, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION

PECOS Registration: Yes

Address:
1016 TACOMA AVE
SUNNYSIDE, WA
ZIP 98944
Phone: (509) 837-1725
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Callie Rebecca Sullivan, DNP, ARNP is a family nurse practitioner in Sunnyside, WA with 5 years of experience. Callie Rebecca Sullivan, DNP, ARNP NPI is 1265051767. 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:

1016 TACOMA AVE
SUNNYSIDE, WA
ZIP 98944-263
Phone: (509) 837-1725

The NPI 1265051767 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2020 and was last updated on 10/23/2020.

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	AP61040203	WASHINGTON	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: 11/14/2023

NPI Synchronization or Removal

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