Musselman, Anne Lise Sullivan
Musselman, Anne Lise Sullivan is an individual health care provider with primary practice located at 20 Arrowood Dr Ste A , Ithaca NY 14850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Musselman, Anne Lise Sullivan can be contacted via phone (607) 266-7800.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
| NPI number | 1275055980 |
|---|---|
| LBN Legal business name | Musselman, Anne Lise Sullivan |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2017 |
| Last updated | May 8th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275055980 | NPPES |
| New York | MEDICAID | 05330983 |
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