MELISSA L SULLIVAN REGISTERED NURSE
NPI 1073355772
Registered Nurse - General Practice in Camano Island, WA
Active since June 12, 2024
848 N SUNRISE BLVD, SUITE 102 BLD A, CAMANO ISLAND, WA 98282(360) 629-2524(360) 610-4979 Get Directions Write a Review
About Melissa L Sullivan Registered Nurse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA L SULLIVAN REGISTERED NURSE (NPI 1073355772) is an individual general practice provider in Camano Island, Washington, licensed in Washington (RN60421811) and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1073355772
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMELISSA L SULLIVANCredential: REGISTERED NURSE
Location Address848 N SUNRISE BLVD, SUITE 102 BLD ACamano Island, WA 98282
Mailing Address848 N Sunrise Blvd, Suite 102 Bld ACamano Island, WA 98282 · (360) 629-2524 · Fax (360) 610-4979
Phone(360) 629-2524
Fax(360) 610-4979
Sole ProprietorNo
Enumeration DateJune 12, 2024
✔ NPI 1073355772 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in WA · RN60421811
848 N SUNRISE BLVD, Camano Island, WA 98282
Other Names 1
Former Name (1)Melissa L Grabau Registered Nurse
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Clinic/Center (Physical Therapy)
848 N SUNRISE BLVD, SUITE F104
CAMANO ISLAND, WA 98282
CAMANO ISLAND, WA 98282
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073355772, enumerated as an "individual" on June 12, 2024.
The provider is located at 848 N SUNRISE BLVD SUITE 102 BLD A CAMANO ISLAND, WA 98282 and the phone number is (360) 629-2524.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
