Sullivan, Maureen
Sullivan, Maureen is an individual health care provider with primary practice located at 1919 Lathrop St Suite 217, Fairbanks AK 99701-5937. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Sullivan, Maureen can be contacted via phone (907) 456-8191.Contact Information
Primary practice address
1919 Lathrop St Suite 217
Fairbanks AK 99701-5937
Phone: (907) 456-8191
Fax: (907) 456-8192
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | F420761-1 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | F001104-1 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | APN36126 | Montana |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 1085 | Alaska |
Profile Details
NPI number | 1427010057 |
---|---|
LBN Legal business name | Sullivan, Maureen |
Credentials | CNM, WHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2006 |
Last updated | Oct 11th, 2016 - about 8 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 | 1427010057 | NPPES |
New York | MEDICAID | 02494035 |
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