Sullivan, Marin M

Sullivan, Marin M is an individual health care provider with primary practice located at 5601 De Soto Ave , Woodland Hills CA 91367-6701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Sullivan, Marin M can be contacted via phone (818) 719-2000.

Contact Information

Primary practice address
5601 De Soto Ave Woodland Hills CA 91367-6701
Phone: (818) 719-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA3126 California

Profile Details

NPI number 1114043379
LBN Legal business name Sullivan, Marin M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Dec 13th, 2021 - about 3 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.

Request for update

Popular Providers