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JUDITH EILEEN SULLIVAN ANP
NPI 1083880181
Clinical Nurse Specialist - Psychiatric/Mental Health in Boise, ID

Active since May 08, 2008
223 W STATE ST, BOISE, ID 83702(208) 343-0436 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Judith Eileen Sullivan Anp NPPES

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

JUDITH EILEEN SULLIVAN ANP (NPI 1083880181) is an individual psychiatric/mental health provider in Boise, Idaho, licensed in Idaho (CNS36A) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1083880181
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameJUDITH EILEEN SULLIVANCredential: ANP
Location Address223 W STATE STBoise, ID 83702-6013
Mailing Address43 Golden Eagle DrBoise, ID 83716-3217 · (208) 343-0436
Phone(208) 343-0436
Sole ProprietorNo
Enumeration DateMay 8, 2008
✔ NPI 1083880181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License✔ Licensed in ID · CNS36A
223 W STATE ST, Boise, ID 83702
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSAN L FARBER PHD
Psychologist (Clinical)
223 W STATE ST
BOISE, ID 83702
Ada County (208) 344-8496
MS. JANA KAE THOMAS LCPC
Counselor (Professional)
223 W STATE ST
BOISE, ID 83702
Ada County (208) 870-2830
REBECCA K STONE ANPC
Nurse Practitioner (Adult Health)
223 W STATE ST
BOISE, ID 83702
Ada County (208) 429-1627

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 Judith Sullivan's NPI number?

The NPI number for Judith Sullivan is 1083880181. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Where is Judith Sullivan located?

Judith Sullivan practices at 223 W State St, Boise, ID 83702. The listed phone number is (208) 343-0436.

What is Judith Sullivan's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

When was this NPI record last updated?

The NPPES record for Judith Sullivan was last updated on May 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.