Linda S Sullivan is a Family in Fairfax, Virginia. Linda S Sullivan practices all healthcare services and medical treatments related to Family. The NPI Number for Linda S Sullivan is 1174593818. The last update date is 2021-06-03.
Linda S Sullivan's current location address is 12255 Fair Lakes Pkwy, Fairfax, Virginia. You can contact this provider via phone number 7039345700. The mailing address for Linda S Sullivan is 12255 Fair Lakes Pkwy, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda S Sullivan |
|---|---|
| Address | 12255 Fair Lakes Pkwy, Fairfax, Virginia |
| Phone Number | 7039345700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1174593818 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2021-06-03 |
Provider Mailing Address Detail
| Address | 12255 Fair Lakes Pkwy |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220333952 |
| Phone Number | 7039345700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 24080712 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Linda S Sullivan's unique identification number?
The Linda S Sullivan has been assigned the NPI (National Provider Identifier) Number 1174593818 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Linda S Sullivan's physical address?
The Linda S Sullivan is physically located at 12255 Fair Lakes Pkwy, in the city of Fairfax, VA, with the postal code 220333952.
What is the Linda S Sullivan's specialty and taxonomy code?
The Linda S Sullivan's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did Linda S Sullivan receive its 1174593818 assignment from the Centers for Medicare & Medicaid Services?
The Linda S Sullivan was assigned its 1174593818 on 2006-01-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Linda S Sullivan's information last updated?
The Linda S Sullivan's information was last updated on 2021-06-03.