AMANDA CLARE SULLIVAN LAC NPI 1447208491

NPI Information

  • NPI: 1447208491
  • Provider Name: AMANDA CLARE SULLIVAN, LAC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Individual
  • Address: 900 S ELISEO DR STE 104
    GREENBRAE, CA
    ZIP 94904
  • Phone: (415) 676-1832

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NPI Details

Amanda Clare Sullivan, LAC is an acupuncturist in Greenbrae, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Amanda Clare Sullivan, LAC NPI is 1447208491. 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:

900 S ELISEO DR STE 104
GREENBRAE, CA
ZIP 94904-152
Phone: (415) 676-1832

The enumeration date for this NPI number is 5/4/2006 and was last updated on 1/21/2025.

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
1171100000XAcupuncturistAC9879CALIFORNIAYes

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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