Sullens, Mary Martin

Sullens, Mary Martin is an individual health care provider with primary practice located at 2625 Edith Avenue Suite B, Redding CA 96001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sullens, Mary Martin can be contacted via phone (530) 225-7480.

Contact Information

Primary practice address
2625 Edith Avenue Suite B Redding CA 96001
Phone: (530) 225-7480
Fax: (530) 225-7293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NPF 6314 California

Profile Details

NPI number 1821116914
LBN Legal business name Sullens, Mary Martin
Credentials RN FNP MHS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821116914 NPPES
California Other NPF 6314 NURSE PRACT. LICENSE
California Other RN 229515 NURSE PRACT. LICENSE

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