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PATRICIA SULLIVAN NP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1902929912

Individual Registrant:
 PATRICIA  SULLIVAN NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9279 LOCUST  PLYMOUTH, CA 95669 US
Tel: 209-245-6968  Fax: 209-245-5135

Contact information for business:
10470 OLD PLACERVILLE RD SUITE 100 SACRAMENTO, CA 95827-2539 US
Tel: 800-470-0071  Fax: --

Registration Information:
NPI: 1902929912
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA10070

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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