MARCIA SULLIVAN NP
NPI 1225115652
Nurse Practitioner in Milwaukee, WI

Q: What is Marcia Sullivan's NPI number?

The NPI number for Marcia Sullivan is 1225115652. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Marcia Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Marcia Sullivan was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 01, 2006

3056 S KINNICKINNIC AVE, MILWAUKEE, WI 53207(414) 769-4900 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marcia Sullivan Np NPPES

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

MARCIA SULLIVAN NP (NPI 1225115652) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (935) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1225115652

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARCIA SULLIVANCredential: NP

Location Address3056 S KINNICKINNIC AVEMilwaukee, WI 53207-2521

Mailing Address4425 N Port Washington Rd, Attn: Clinic CredentialingGlendale, WI 53212-1082 · (414) 769-4900

Phone(414) 769-4900

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateMay 25, 2011

✔ NPI 1225115652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 935

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3056 S KINNICKINNIC AVE, Milwaukee, WI 53207

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Other Identifiers 2

Medicaid41176400WI

Medicare UPINQ00463WI

Other Providers at the Same Location NPPES 11

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

CAROLYN RODENKIRCH PT

Physical Therapist

3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207

Milwaukee County (414) 769-4949

MR. SCOTT ALLYN PERRY P.T.

Physical Therapist

3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207

Milwaukee County (414) 769-4949

DANIEL CHRISTIAN RICE RATZLAFF MD

Family Medicine

3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207

Milwaukee County (414) 769-4900

KATLYN ELIZABETH MALONE

Nurse Practitioner (Family)

3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207

Milwaukee County (414) 769-4900

CLAUDE LATAILLE NP

Nurse Practitioner (Family)

3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207

Milwaukee County (414) 769-4904

DR. ROBERT L HUXLEY MD

Internal Medicine (Cardiovascular Disease)

3056 S KINNICKINNIC AVE, SUITE 300
MILWAUKEE, WI 53207

Milwaukee County (414) 294-0971

REBECCA JOY MILLER DO

Family Medicine

3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207

Milwaukee County (414) 769-4900

LINDA M. WARD MD

Family Medicine

3056 S KINNICKINNIC AVE
MILWAUKEE, WI 53207

Milwaukee County (414) 769-4900

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 Marcia Sullivan's NPI number?

The NPI number for Marcia Sullivan is 1225115652. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Marcia Sullivan located?

Marcia Sullivan practices at 3056 S Kinnickinnic Ave, Milwaukee, WI 53207. The listed phone number is (414) 769-4900.

What is Marcia Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Marcia Sullivan was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.