Sullivan, Callie Rebecca

Sullivan, Callie Rebecca is an individual health care provider with primary practice located at 1016 Tacoma Ave , Sunnyside WA 98944-2263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sullivan, Callie Rebecca can be contacted via phone (509) 837-1725.

Contact Information

Primary practice address
1016 Tacoma Ave Sunnyside WA 98944-2263
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61040203 Washington

Profile Details

NPI number 1265051767
LBN Legal business name Sullivan, Callie Rebecca
Credentials DNP, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2020
Last updated Oct 23rd, 2020 - about 5 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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