Paul B Sullivan in Liberty Lake - Nurse Anesthetist, Certified Registered
Paul B Sullivan - NPI 1023128451
Paul B Sullivan is a Nurse Anesthetist, Certified Registered in Liberty Lake, Washington. Paul B Sullivan practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Paul B Sullivan is 1023128451. The last update date is 2016-11-08.
Paul B Sullivan's current location address is 21980 E Country Vista Dr, Liberty Lake, Washington. You can contact this provider via phone number 5099261770 and fax number 5092289542. The mailing address for Paul B Sullivan is 21980 E Country Vista Dr, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul B Sullivan |
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Address | 21980 E Country Vista Dr, Liberty Lake, Washington |
Phone Number | 5099261770 |
Fax Number | 5092289542 |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1023128451 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2016-11-08 |
Provider Mailing Address Detail
Address | 21980 E Country Vista Dr |
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City | Liberty Lake |
State | Washington (WA) |
Post Code | 990196025 |
Phone Number | 5099261770 |
Fax Number | 5092289542 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | AP30005473 |
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9617499 | WA | -- | |
912153623 | WA | TAX ID |
Post Comment/ Review Below
What is the Paul B Sullivan's unique identification number?
The Paul B Sullivan has been assigned the NPI (National Provider Identifier) Number 1023128451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Paul B Sullivan located?
The Paul B Sullivan is located at 21980 E Country Vista Dr, Liberty Lake, WA 990196025.
What is the Paul B Sullivan's area of specialization and corresponding taxonomy classification?
The Paul B Sullivan's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
When was the Paul B Sullivan's 1023128451 issued?
The Paul B Sullivan's 1023128451 was issued on 2006-08-30.
As of what date were the details related to Paul B Sullivan most recently updated or revised?
The information pertaining to Paul B Sullivan, including its address, specialty, and other relevant details, was last updated or revised on 2016-11-08.
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