STEFFANIE SULLIVAN NPI 1629406715

NPI Information

  • NPI: 1629406715
  • Provider Name: STEFFANIE SULLIVAN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3030 SENNA DR
    MATTHEWS, NC
    ZIP 28105
  • Phone: (704) 844-8971

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NPI Details

Steffanie Sullivan is a family nurse practitioner in Matthews, NC. Steffanie Sullivan NPI is 1629406715. 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:

3030 SENNA DR
MATTHEWS, NC
ZIP 28105-726
Phone: (704) 844-8971
Fax: (704) 849-9567

The NPI 1629406715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 10/29/2013.

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
1363LF0000XNurse PractitionerFamily5006534NORTH CAROLINAYes

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: 3/30/2025

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