Mrs Michelle B Sullivan, ARNP | |
3292 County Road 220, Middleburg, FL 32068-4357 | |
(904) 291-5561 | |
Not Available |
Full Name | Mrs Michelle B Sullivan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 3292 County Road 220, Middleburg, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134677842 | NPI | - | NPPES |
ARNP3144812 | Other | FL | FL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP3144812 (Florida) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN3144812 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Esperanza Health Centers | 2961453105 | 40 |
Entity Name | Esperanza Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124187125 PECOS PAC ID: 2961453105 Enrollment ID: O20050204000750 |
Entity Name | Community Health Partnership Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932375169 PECOS PAC ID: 6901053511 Enrollment ID: O20130723000458 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle B Sullivan, ARNP 3292 County Road 220, Middleburg, FL 32068-4357 Ph: (904) 291-5561 | Mrs Michelle B Sullivan, ARNP 3292 County Road 220, Middleburg, FL 32068-4357 Ph: (904) 291-5561 |
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