MRS. PATRICIA ANN SULLIVAN ANP/FNP
NPI 1194816637
Nurse Practitioner - Adult Health in Malverne, NY
Active since September 28, 2006
About Mrs. Patricia Ann Sullivan Anp/fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. PATRICIA ANN SULLIVAN ANP/FNP (NPI 1194816637) is an individual adult health provider in Malverne, New York, licensed in New York (F3015201) and active in the NPI registry since September 2006.
NPPES Registry Identity
NPI1194816637
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. PATRICIA ANN SULLIVANCredential: ANP/FNP
Location Address4 WEBER AVEMalverne, NY 11565-1742
Mailing Address77 Kirkwood StLong Beach, NY 11561 · (516) 459-2497 · Fax (516) 889-0159
Phone(516) 599-5885
Fax(516) 599-5442
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateApril 27, 2016
✔ NPI 1194816637 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F3015201
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License F3401241 (NY)
4 WEBER AVE, Malverne, NY 11565
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194816637, enumerated as an "individual" on September 28, 2006.
The provider is located at 4 WEBER AVE MALVERNE, NY 11565 and the phone number is (516) 599-5885.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.