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DEBRA SULLIVAN PA
NPI 1396836714
Physician Assistant - Medical in Derby, CT

Active since September 28, 2006
130 DIVSIION STREET, DERBY, CT 06418(203) 732-7403 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra Sullivan Pa NPPES

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

DEBRA SULLIVAN PA (NPI 1396836714) is an individual medical provider in Derby, Connecticut, licensed in Connecticut (001807) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1396836714
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDEBRA SULLIVANCredential: PA
Location Address130 DIVSIION STREETDerby, CT 06418
Mailing Address130 Divsiion StreetDerby, CT 06418
Phone(203) 732-7403
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396836714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 001807
130 DIVSIION STREET, Derby, CT 06418
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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 Debra Sullivan's NPI number?

The NPI number for Debra Sullivan is 1396836714. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Debra Sullivan located?

Debra Sullivan practices at 130 Divsiion Street, Derby, CT 06418. The listed phone number is (203) 732-7403.

What is Debra Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Debra Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.