Colleen Marie Sullivan in Clayton - Physician Assistant

Colleen Marie Sullivan - NPI 1952319501

Colleen Marie Sullivan is a Physician Assistant in Clayton, North Carolina. Colleen Marie Sullivan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Colleen Marie Sullivan is 1952319501. The last update date is 2022-01-28.

Colleen Marie Sullivan's current location address is 2076 Highway 42 West, Clayton, North Carolina. You can contact this provider via phone number 9197631050. The mailing address for Colleen Marie Sullivan is 2076 Highway 42 West, Clayton, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Colleen Marie Sullivan
Address 2076 Highway 42 West, Clayton, North Carolina
Phone Number 9197631050
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1952319501
Provider Enumeration Date 2006-08-03
Last Updated Date 2022-01-28

Provider Mailing Address Detail

Address 2076 Highway 42 West
City Clayton
State North Carolina (NC)
Post Code 275205302
Phone Number 9197631050
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 104145
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Colleen Marie Sullivan

What is the unique 10-digit identifier code assigned to Colleen Marie Sullivan by the Centers for Medicare & Medicaid Services?

The Colleen Marie Sullivan has been issued the NPI (National Provider Identifier) 1952319501 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Colleen Marie Sullivan's physical address?

The Colleen Marie Sullivan is physically located at 2076 Highway 42 West, in the city of Clayton, NC, with the postal code 275205302.

What is the Colleen Marie Sullivan's area of specialization and corresponding taxonomy classification?

The Colleen Marie Sullivan's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When was the Colleen Marie Sullivan's 1952319501 issued?

The Colleen Marie Sullivan's 1952319501 was issued on 2006-08-03.

As of what date was the information pertaining to Colleen Marie Sullivan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Colleen Marie Sullivan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-01-28.

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