Kathryn Ann Sullivan in Placerville - Nurse Practitioner
Kathryn Ann Sullivan - NPI 1174791743
Kathryn Ann Sullivan is a Nurse Practitioner in Placerville, California. Kathryn Ann Sullivan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kathryn Ann Sullivan is 1174791743. The last update date is 2012-02-13.
Kathryn Ann Sullivan's current location address is 1095 Marshall Way, Placerville, California. You can contact this provider via phone number 5306266155. The mailing address for Kathryn Ann Sullivan is 1095 Marshall Way, Placerville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Ann Sullivan |
|---|---|
| Address | 1095 Marshall Way, Placerville, California |
| Phone Number | 5306266155 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1174791743 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2012-02-13 |
Provider Mailing Address Detail
| Address | 1095 Marshall Way |
|---|---|
| City | Placerville |
| State | California (CA) |
| Post Code | 956675722 |
| Phone Number | 5306266155 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP265192 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Kathryn Ann Sullivan by the Centers for Medicare & Medicaid Services?
The Kathryn Ann Sullivan has been issued the NPI (National Provider Identifier) 1174791743 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kathryn Ann Sullivan?
The Kathryn Ann Sullivan is physically situated at 1095 Marshall Way, in the city of Placerville, state of CA, with the postal code 956675722.
What is Kathryn Ann Sullivan's area of expertise and its corresponding taxonomy classification?
The Kathryn Ann Sullivan's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1174791743 assigned to Kathryn Ann Sullivan?
The Kathryn Ann Sullivan was issued its 1174791743 on 2008-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kathryn Ann Sullivan's details last updated?
The information pertaining to the Kathryn Ann Sullivan, including its address, specialty, and other details, was most recently updated on 2012-02-13.