Sullivan, Nancy L.

Sullivan, Nancy L. is an individual health care provider with primary practice located at 12720 Mcmanus Blvd Suite 311, Newport News VA 23602-4414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sullivan, Nancy L. can be contacted via phone (757) 947-3170.

Contact Information

Primary practice address
12720 Mcmanus Blvd Suite 311 Newport News VA 23602-4414
Phone: (757) 947-3170
Fax: (757) 947-3180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024067080 Virginia

Profile Details

NPI number 1457504433
LBN Legal business name Sullivan, Nancy L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2008
Last updated Jul 14th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457504433 NPPES
Virginia MEDICAID 1457504433

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