MARY ELLEN SULLIVAN
NPI 1164570750
Registered Nurse in Santa Rosa, CA

Q: What is Mary Ellen Sullivan's NPI number?

The NPI number for Mary Ellen Sullivan is 1164570750. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Mary Ellen Sullivan's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Active since January 08, 2007

3322 CHANATE RD, SANTA ROSA, CA 95404(707) 565-4970 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Ellen Sullivan NPPES

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

MARY ELLEN SULLIVAN (NPI 1164570750) is an individual registered nurse in Santa Rosa, California, licensed in California (319435) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1164570750

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMARY ELLEN SULLIVAN

Location Address3322 CHANATE RDSanta Rosa, CA 95404-1708

Mailing Address3322 Chanate RdSanta Rosa, CA 95404-1708

Phone(707) 565-4970

Sole ProprietorNo

Enumeration DateJanuary 8, 2007

Last NPPES UpdateSeptember 10, 2014

✔ NPI 1164570750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in CA · 319435

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

3322 CHANATE RD, Santa Rosa, CA 95404

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