Kerrie L Sullivan in Annapolis - Family

Kerrie L Sullivan - NPI 1619074077

Kerrie L Sullivan is a Family in Annapolis, Maryland. Kerrie L Sullivan practices all healthcare services and medical treatments related to Family. The NPI Number for Kerrie L Sullivan is 1619074077. The last update date is 2018-11-26.

Kerrie L Sullivan's current location address is 1000 Bestgate Rd Ste 400, Annapolis, Maryland. You can contact this provider via phone number 4102662720 and fax number 4102240209. The mailing address for Kerrie L Sullivan is 1000 Bestgate Rd Ste 400, Annapolis, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Kerrie L Sullivan
Address 1000 Bestgate Rd Ste 400, Annapolis, Maryland
Phone Number 4102662720
Fax Number 4102240209
Sole Proprietor N
Credentials RN CFNP MS

NPI Number Detail

NPI Number 1619074077
Provider Enumeration Date 2006-09-20
Last Updated Date 2018-11-26

Provider Mailing Address Detail

Address 1000 Bestgate Rd Ste 400
City Annapolis
State Maryland (MD)
Post Code 214013371
Phone Number 4102662720
Fax Number 4102240209

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R121234
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
88989506 MD BCBS
W8490005 DC BCBS
J4570008 BCBS DC
411894400 MD --
88989504 MD BCBS
88989507 MD BCBS
D3800008 DC BCBS
88989503 BCBS MD

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FAQs about Kerrie L Sullivan

What is the unique identification code assigned to Kerrie L Sullivan by the Centers for Medicare & Medicaid Services?

The Kerrie L Sullivan has been issued the NPI (National Provider Identifier) 1619074077. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kerrie L Sullivan is geographically located?

The Kerrie L Sullivan is physically situated at the following location: 1000 Bestgate Rd Ste 400, Annapolis, MD, 214013371.

What is the Kerrie L Sullivan's specialty and taxonomy code?

The Kerrie L Sullivan's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date did the Kerrie L Sullivan receive its 1619074077 assignment from the Centers for Medicare & Medicaid Services?

The Kerrie L Sullivan was assigned its 1619074077 by the Centers for Medicare & Medicaid Services on 2006-09-20.

When was the information regarding Kerrie L Sullivan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kerrie L Sullivan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-11-26.

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