MRS. LARISSA S SULTAN NURSE PRACTITIONER
NPI 1306372032
Nurse Practitioner - Acute Care in Oxford, MI

Active since May 01, 2017
115 WILLOW LAKE DR, OXFORD, MI 48371(248) 672-0526 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Larissa S Sultan Nurse Practitioner NPPES

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

MRS. LARISSA S SULTAN NURSE PRACTITIONER (NPI 1306372032) is an individual acute care provider in Oxford, Michigan, licensed in Michigan (4704276540) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1306372032
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. LARISSA S SULTANCredential: NURSE PRACTITIONER
Location Address115 WILLOW LAKE DROxford, MI 48371-6376
Mailing Address115 Willow Lake DrOxford, MI 48371-6376 · (248) 672-0526
Sole ProprietorYes
Enumeration DateMay 1, 2017
NPI 1306372032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704276540
115 WILLOW LAKE DR, Oxford, MI 48371

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 Larissa Sultan's NPI number?

The NPI number for Larissa Sultan is 1306372032. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Larissa Sultan located?

Larissa Sultan practices at 115 Willow Lake Dr, Oxford, MI 48371. The listed phone number is (248) 672-0526.

What is Larissa Sultan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Larissa Sultan was last updated on May 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.