Sullivan, Atina Lorene

Sullivan, Atina Lorene is an individual health care provider with primary practice located at 1202 Annapolis Rd , Odenton MD 21113-1397. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Sullivan, Atina Lorene can be contacted via phone (410) 672-2862.

Contact Information

Primary practice address
1202 Annapolis Rd Odenton MD 21113-1397
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R250751 Maryland

Profile Details

NPI number 1508351024
LBN Legal business name Sullivan, Atina Lorene
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2018
Last updated Dec 18th, 2023 - about last year

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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