LINDA SULLIVAN CRNP NPI 1639298540

NPI Information

NPI: 1639298540
Provider Name: LINDA SULLIVAN, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
210 GOVERNMENT ST
MOBILE, AL
ZIP 36602
Phone: (251) 433-8448
Get Directions

Linda Sullivan, CRNP is an adult health nurse practitioner in Mobile, AL with 50 years of experience. Linda Sullivan, CRNP NPI is 1639298540. 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:

210 GOVERNMENT ST
MOBILE, AL
ZIP 36602-614
Phone: (251) 433-8448
Fax: (251) 460-5431

The NPI 1639298540 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 3/29/2007 and was last updated on 2/9/2011.

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	363LA2200X	Nurse Practitioner	Adult Health	1024547	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051506120	OTHER	ALABAMA	BLUE CROSS
2	51108245	OTHER	ALABAMA	BLUE CROSS
3	P09330	MEDICARE UPIN	ALABAMA
4	009914210	MEDICAID	ALABAMA
5	102I504736	MEDICARE PIN	ALABAMA

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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