Sullivan, Patricia

Sullivan, Patricia is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Sullivan, Patricia can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN 655241 California

Profile Details

NPI number 1043698459
LBN Legal business name Sullivan, Patricia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2015
Last updated May 18th, 2015 - about 10 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 1043698459 NPPES
California Other ZZZ91891Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
California Other ZZZ91892Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
California Other ZZZ92069Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
California Other FHC70044F SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
California Other RN 655241 SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
California Other FHC70042F SANTA CRUZ COUNTY MEDICARE GROUP PTAN#

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