Martha J Sullivan in Rockford - Nurse Practitioner

Martha J Sullivan - NPI 1932212800

Martha J Sullivan is a Nurse Practitioner in Rockford, Illinois. Martha J Sullivan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Martha J Sullivan is 1932212800. The last update date is 2014-01-29.

Martha J Sullivan's current location address is 2300 N Rockton Ave, Rockford, Illinois. You can contact this provider via phone number 8159712000 and fax number 8156330096. The mailing address for Martha J Sullivan is 2300 N Rockton Ave, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Martha J Sullivan
Address 2300 N Rockton Ave, Rockford, Illinois
Phone Number 8159712000
Fax Number 8156330096
Sole Proprietor N
Credentials CNP CERTIF

NPI Number Detail

NPI Number 1932212800
Provider Enumeration Date 2006-08-16
Last Updated Date 2014-01-29

Provider Mailing Address Detail

Address 2300 N Rockton Ave
City Rockford
State Illinois (IL)
Post Code 611033619
Phone Number 8159712000
Fax Number 8156330096

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 209001036
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

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FAQs about Martha J Sullivan

What is the Martha J Sullivan's unique identification number?

The Martha J Sullivan has been assigned the NPI (National Provider Identifier) Number 1932212800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Martha J Sullivan is physically located?

The Martha J Sullivan is situated at the following address: 2300 N Rockton Ave, Rockford, IL 611033619.

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

The specialized field of practice for Martha J Sullivan is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1932212800 to Martha J Sullivan?

The Centers for Medicare & Medicaid Services assigned the 1932212800 to Martha J Sullivan on 2006-08-16.

When was the Martha J Sullivan's information last updated?

The Martha J Sullivan's information was last updated on 2014-01-29.

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