Mary Ellen Sullivan in Columbia - Gerontology

Mary Ellen Sullivan - NPI 1861676942

Mary Ellen Sullivan is a Gerontology in Columbia, South Carolina. Mary Ellen Sullivan practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Mary Ellen Sullivan is 1861676942. The last update date is 2022-11-09.

Mary Ellen Sullivan's current location address is 111 Doctor Cir, Columbia, South Carolina. You can contact this provider via phone number 8004910909. The mailing address for Mary Ellen Sullivan is 111 Doctor Cir, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Ellen Sullivan
Address 111 Doctor Cir, Columbia, South Carolina
Phone Number 8004910909
Fax Number
Sole Proprietor N
Credentials GNP-BC

NPI Number Detail

NPI Number 1861676942
Provider Enumeration Date 2007-12-25
Last Updated Date 2022-11-09

Provider Mailing Address Detail

Address 111 Doctor Cir
City Columbia
State South Carolina (SC)
Post Code 292036502
Phone Number 8004910909
Fax Number

Provider's Primary Taxonomy Detail

Speciality Gerontology
Taxonomy 363Lg0600X
Licence No 3428
Definition:
An advanced practice registered nurse expert in providing care to older adult patients.

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FAQs about Mary Ellen Sullivan

What is the unique provider identifier assigned to Mary Ellen Sullivan?

The Mary Ellen Sullivan has been issued the NPI (National Provider Identifier) 1861676942 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 address where Mary Ellen Sullivan is geographically located?

The Mary Ellen Sullivan is physically situated at the following location: 111 Doctor Cir, Columbia, SC, 292036502.

What is the area of specialization for Mary Ellen Sullivan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Ellen Sullivan is Gerontology, and the corresponding taxonomy code that categorizes this area of expertise is 363Lg0600X.

On what date did the Centers for Medicare & Medicaid Services issue the 1861676942 to Mary Ellen Sullivan?

The Mary Ellen Sullivan received its 1861676942 assignment from the Centers for Medicare & Medicaid Services on 2007-12-25.

As of what date were the details related to Mary Ellen Sullivan most recently updated or revised?

The information pertaining to Mary Ellen Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-09.

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