Sullivan, David Yutaka

Sullivan, David Yutaka is an individual health care provider with primary practice located at 500 Indiana Ave , Winslow AZ 86047-2169. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Sullivan, David Yutaka can be contacted via phone (928) 289-6230.

Contact Information

Primary practice address
500 Indiana Ave Winslow AZ 86047-2169
Phone: (928) 289-6230
Fax: (928) 289-6229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X RN174273 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 224965 Arizona

Profile Details

NPI number 1962751545
LBN Legal business name Sullivan, David Yutaka
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Apr 25th, 2019 - 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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