Sullivan, Kerrie L
Sullivan, Kerrie L is an individual health care provider with primary practice located at 1000 Bestgate Rd Ste 400 , Annapolis MD 21401. 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, Kerrie L can be contacted via phone (410) 266-2720.Contact Information
Primary practice address
1000 Bestgate Rd Ste 400
Annapolis MD 21401
Phone: (410) 266-2720
Fax: (410) 224-0209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R121234 | Maryland |
Profile Details
| NPI number | 1619074077 |
|---|---|
| LBN Legal business name | Sullivan, Kerrie L |
| Credentials | RN CFNP MSN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 26th, 2018 - 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 | 1619074077 | NPPES |
| Maryland | Other | 88989506 | BCBS |
| Maryland | Other | W8490005 | BCBS |
| Maryland | Other | J4570008 | BCBS |
| Maryland | MEDICAID | 411894400 | BCBS |
| Maryland | Other | 88989504 | BCBS |
| Maryland | Other | 88989507 | BCBS |
| Maryland | Other | D3800008 | BCBS |
| Maryland | Other | 88989503 | BCBS |
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