Mary Ellen Sullivan in Santa Rosa - Registered Nurse
Mary Ellen Sullivan - NPI 1164570750
Mary Ellen Sullivan is a Registered Nurse in Santa Rosa, California. Mary Ellen Sullivan practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Mary Ellen Sullivan is 1164570750. The last update date is 2014-09-10.
Mary Ellen Sullivan's current location address is 3322 Chanate Rd, Santa Rosa, California. You can contact this provider via phone number 7075654970. The mailing address for Mary Ellen Sullivan is 3322 Chanate Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Sullivan |
|---|---|
| Address | 3322 Chanate Rd, Santa Rosa, California |
| Phone Number | 7075654970 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164570750 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2014-09-10 |
Provider Mailing Address Detail
| Address | 3322 Chanate Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954041708 |
| Phone Number | 7075654970 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 319435 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary Ellen Sullivan by the Centers for Medicare & Medicaid Services?
The Mary Ellen Sullivan has been assigned the NPI (National Provider Identifier) 1164570750. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mary Ellen Sullivan's facilities are geographically located?
The facilities of Mary Ellen Sullivan are physically situated at the following location: 3322 Chanate Rd, Santa Rosa, CA, 954041708.
What is Mary Ellen Sullivan's area of expertise and its corresponding taxonomy classification?
The Mary Ellen Sullivan's field of specialization is Registered Nurse, and it falls under the taxonomy code 163W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1164570750 to Mary Ellen Sullivan?
The Centers for Medicare & Medicaid Services assigned the 1164570750 to Mary Ellen Sullivan on 2007-01-08.
As of what date were the details related to Mary Ellen Sullivan most recently updated or revised?
The information pertaining to Mary Ellen Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-10.