MARISA SULLIVAN MSN AGACNP-BC NPI 1275991432

NPI Information

NPI: 1275991432
Provider Name: MARISA SULLIVAN, MSN, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
301 E 17TH ST
NEW YORK, NY
ZIP 10003
Phone: (212) 263-5230
Get Directions

Marisa Sullivan, MSN, AGACNP-BC is an acute care nurse practitioner in New York, NY with 9 years of experience. Marisa Sullivan, MSN, AGACNP-BC NPI is 1275991432. 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:

301 E 17TH ST
NEW YORK, NY
ZIP 10003-804
Phone: (212) 263-5230

The NPI 1275991432 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 2/3/2016 and was last updated on 10/14/2020.

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	363LA2100X	Nurse Practitioner	Acute Care	431368	NEW YORK	Yes
2	363LA2100X	Nurse Practitioner	Acute Care	26NJ00615100	NEW JERSEY	No

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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