Mrs Mary L Sullivan-tansey, RN, MFT, PSY D is a
Registered Nurse based in Victorville, California. Mrs Mary L Sullivan-tansey is licensed to practice in California (license number 193750) and her current practice location is
12625 Hesperia Rd, Suite 'f', Victorville, California. She can be reached at her office (for appointments etc.) via phone at
(760) 955-1777.
NPI number for Mrs Mary L Sullivan-tansey is 1972642858 and her current mailing address is 12625 Hesperia Rd, Suite 'f', Victorville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972642858.
Healthcare Provider's Profile
Full Name | Mrs Mary L Sullivan-tansey |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 12625 Hesperia Rd, Victorville, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972642858
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Mary L Sullivan-tansey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972642858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFC 32835 (California) | Primary |
163W00000X | Registered Nurse | 193750 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary L Sullivan-tansey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mary L Sullivan-tansey, RN, MFT, PSY D 12625 Hesperia Rd, Suite 'f', Victorville, CA 92395-7720 Ph: (909) 337-4467 | Mrs Mary L Sullivan-tansey, RN, MFT, PSY D 12625 Hesperia Rd, Suite 'f', Victorville, CA 92395-7720 Ph: (760) 955-1777 |
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