Judith Eileen Sullivan, ANP - Clinical Nurse Specialist in Boise, ID

Judith Eileen Sullivan, ANP is a Clinical Nurse Specialist - Psychiatric/mental Health based in Boise, Idaho. Judith Eileen Sullivan is licensed to practice in Idaho (license number CNS36A) and her current practice location is 223 W State St, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 343-0436.

NPI number for Judith Eileen Sullivan is 1083880181 and her current mailing address is 43 Golden Eagle Dr, Boise, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083880181.

Contact Information

Judith Eileen Sullivan, ANP
223 W State St,
Boise, ID 83702-6013
(208) 343-0436
Not Available

Map and Direction




Provider's Profile

Full NameJudith Eileen Sullivan
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health
Location223 W State St, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083880181
  • Provider Enumeration Date: 05/08/2008
  • Last Update Date: 05/08/2008

Medical Identifiers

Medical identifiers for Judith Eileen Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083880181NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health CNS36A (Idaho)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. Judith Eileen Sullivan 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 AddressPractice Location Address
Judith Eileen Sullivan, ANP
43 Golden Eagle Dr,
Boise, ID 83716-3217

Ph: (208) 343-0436
Judith Eileen Sullivan, ANP
223 W State St,
Boise, ID 83702-6013

Ph: (208) 343-0436

Reviews and Comments


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