Arthur Lee Sullivan in Austin - Nurse Practitioner

Arthur Lee Sullivan - NPI 1659569770

Arthur Lee Sullivan is a Nurse Practitioner in Austin, Texas. Arthur Lee Sullivan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Arthur Lee Sullivan is 1659569770. The last update date is 2007-10-15.

Arthur Lee Sullivan's current location address is 12201 Renfert Way, Austin, Texas. You can contact this provider via phone number 5129777000 and fax number 5129777001. The mailing address for Arthur Lee Sullivan is 12201 Renfert Way, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Arthur Lee Sullivan
Address 12201 Renfert Way, Austin, Texas
Phone Number 5129777000
Fax Number 5129777001
Sole Proprietor Y
Credentials FNP

NPI Number Detail

NPI Number 1659569770
Provider Enumeration Date 2007-10-15
Last Updated Date 2007-10-15

Provider Mailing Address Detail

Address 12201 Renfert Way
City Austin
State Texas (TX)
Post Code 787585354
Phone Number 5129777000
Fax Number 5129777001

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 640304
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
640304 TX RN LICENSE

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FAQs about Arthur Lee Sullivan

What is the unique identifier code issued to Arthur Lee Sullivan by the Centers for Medicare & Medicaid Services (CMS)?

The Arthur Lee Sullivan has been assigned the NPI (National Provider Identifier) 1659569770. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Arthur Lee Sullivan located?

The Arthur Lee Sullivan is located at 12201 Renfert Way, Austin, TX 787585354.

What is Arthur Lee Sullivan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Arthur Lee Sullivan is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659569770 to Arthur Lee Sullivan?

The Arthur Lee Sullivan received its 1659569770 assignment from the Centers for Medicare & Medicaid Services on 2007-10-15.

When was the information regarding Arthur Lee Sullivan most recently updated?

The details pertaining to the Arthur Lee Sullivan, including its address, specialty, and other relevant information, were last refreshed on 2007-10-15.

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