Michelle Louise Sullivan, LPN is a
Licensed Practical Nurse based in Willseyville, New York. Michelle Louise Sullivan is licensed to practice in New York (license number 285400) and her current practice location is
2167 Danby Rd, Willseyville, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 351-8130.
NPI number for Michelle Louise Sullivan is 1649613241 and her current mailing address is 2167 Danby Rd, Willseyville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649613241.
Provider's Profile
Full Name | Michelle Louise Sullivan |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2167 Danby Rd, Willseyville, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649613241
- Provider Enumeration Date: 04/12/2013
- Last Update Date: 04/12/2013
Medical Identifiers
Medical identifiers for Michelle Louise Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649613241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 285400 (New York) | 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. Michelle Louise 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 Address | Practice Location Address |
Michelle Louise Sullivan, LPN 2167 Danby Rd, Willseyville, NY 13864-1004 Ph: (607) 351-8130 | Michelle Louise Sullivan, LPN 2167 Danby Rd, Willseyville, NY 13864-1004 Ph: (607) 351-8130 |
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