Casey Sullivan in Plainfield - Nurse Practitioner

Casey Sullivan - NPI 1578762944

Casey Sullivan is a Nurse Practitioner in Plainfield, Indiana. Casey Sullivan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Casey Sullivan is 1578762944. The last update date is 2021-03-17.

Casey Sullivan's current location address is 1100 Southfield Dr Ste 1370, Plainfield, Indiana. You can contact this provider via phone number 3178375566 and fax number 3178375580. The mailing address for Casey Sullivan is 1100 Southfield Dr Ste 1370, Plainfield, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Casey Sullivan
Address 1100 Southfield Dr Ste 1370, Plainfield, Indiana
Phone Number 3178375566
Fax Number 3178375580
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1578762944
Provider Enumeration Date 2007-07-16
Last Updated Date 2021-03-17

Provider Mailing Address Detail

Address 1100 Southfield Dr Ste 1370
City Plainfield
State Indiana (IN)
Post Code 461684300
Phone Number 3178375566
Fax Number 3178375580

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 71002030A
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200865470 IN --

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FAQs about Casey Sullivan

What is the unique provider identifier assigned to Casey Sullivan?

The Casey Sullivan has been issued the NPI (National Provider Identifier) 1578762944 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Casey Sullivan's facilities are situated?

The facilities of Casey Sullivan are physically located at the following address: 1100 Southfield Dr Ste 1370, Plainfield, IN, 461684300.

What is Casey Sullivan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Casey Sullivan's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.

On what date did the Casey Sullivan receive its 1578762944 assignment from the Centers for Medicare & Medicaid Services?

The Casey Sullivan was assigned its 1578762944 by the Centers for Medicare & Medicaid Services on 2007-07-16.

When was the information regarding Casey Sullivan most recently updated?

The details pertaining to the Casey Sullivan, including its address, specialty, and other relevant information, were last refreshed on 2021-03-17.

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