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MARY ELISABETH SULLIVAN STNA
NPI 1043992738
Nurse's Aide in Lake Waynoka, OH

Active since August 02, 2023
112 STALLION DR, LAKE WAYNOKA, OH 45171(937) 779-2182 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Elisabeth Sullivan Stna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELISABETH SULLIVAN STNA (NPI 1043992738) is an individual nurse's aide in Lake Waynoka, Ohio, licensed in Ohio (404196750719) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1043992738
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameMARY ELISABETH SULLIVANCredential: STNA
Location Address112 STALLION DRLake Waynoka, OH 45171-9814
Mailing Address112 Stallion DrLake Waynoka, OH 45171-9814 · (937) 779-2182
Phone(937) 779-2182
Sole ProprietorYes
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1043992738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in OH · 404196750719
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
112 STALLION DR, Lake Waynoka, OH 45171
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Sullivan's NPI number?

The NPI number for Mary Sullivan is 1043992738. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Where is Mary Sullivan located?

Mary Sullivan practices at 112 Stallion Dr, Lake Waynoka, OH 45171. The listed phone number is (937) 779-2182.

What is Mary Sullivan's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Mary Sullivan was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.