Pamela Sue Sullivan in Rancho Mirage - Gerontology
Pamela Sue Sullivan - NPI 1336267699
Pamela Sue Sullivan is a Gerontology in Rancho Mirage, California. Pamela Sue Sullivan practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Pamela Sue Sullivan is 1336267699. The last update date is 2022-07-21.
Pamela Sue Sullivan's current location address is 40055 Bob Hope Dr Ste B, Rancho Mirage, California. You can contact this provider via phone number 7602023946 and fax number 7607704392. The mailing address for Pamela Sue Sullivan is 40055 Bob Hope Dr Ste B, Rancho Mirage, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Sue Sullivan |
|---|---|
| Address | 40055 Bob Hope Dr Ste B, Rancho Mirage, California |
| Phone Number | 7602023946 |
| Fax Number | 7607704392 |
| Sole Proprietor | Y |
| Credentials | GNP |
NPI Number Detail
| NPI Number | 1336267699 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 40055 Bob Hope Dr Ste B |
|---|---|
| City | Rancho Mirage |
| State | California (CA) |
| Post Code | 922703940 |
| Phone Number | 7602023946 |
| Fax Number | 7607704392 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 12764 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1409819 | CA | CIGNA | |
| 4984336 | CA | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pamela Sue Sullivan by the Centers for Medicare & Medicaid Services?
The Pamela Sue Sullivan has been issued the NPI (National Provider Identifier) 1336267699, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Pamela Sue Sullivan's facilities are situated?
The facilities of Pamela Sue Sullivan are physically located at the following address: 40055 Bob Hope Dr Ste B, Rancho Mirage, CA, 922703940.
What is Pamela Sue Sullivan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pamela Sue Sullivan is Gerontology, and the corresponding taxonomy classification code for this specialized field is 363Lg0600X.
On what date did the Pamela Sue Sullivan receive its 1336267699 assignment from the Centers for Medicare & Medicaid Services?
The Pamela Sue Sullivan was assigned its 1336267699 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date was the information regarding Pamela Sue Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pamela Sue Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.