Mrs Deborah Lee Sullivan, ARNP | |
211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | |
(208) 454-0567 | |
(208) 402-6635 |
Full Name | Mrs Deborah Lee Sullivan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 211 E Logan St, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093950420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | NP891 (Idaho) | Primary |
Entity Name | Idaho Sleep And Neurology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063585305 PECOS PAC ID: 5193822914 Enrollment ID: O20070511000591 |
Entity Name | Molina Care Connections Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180517000247 |
Entity Name | Doctors House Calls Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982185260 PECOS PAC ID: 5799024337 Enrollment ID: O20190227000148 |
Mailing Address | Practice Location Address |
---|---|
Mrs Deborah Lee Sullivan, ARNP 3706 N Stone Creek Way, Boise, ID 83703-4745 Ph: (208) 514-3217 | Mrs Deborah Lee Sullivan, ARNP 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 Ph: (208) 454-0567 |
Cynthia Jane Floyd, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15076 Plum Rd, Caldwell, ID 83607 Phone: 208-830-5560 | |
Matthew Fowler, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 E Logan St Ste 301, Caldwell, ID 83605 Phone: 208-649-4315 Fax: 208-649-4513 | |
Ashley Fae White, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-4641 | |
Lynette Joy Ages, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 S 10th Ave Ste 200, Caldwell, ID 83605 Phone: 208-453-6417 Fax: 208-453-6419 | |
Robert Slade Thacker, APRN CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Ste. 230, Caldwell, ID 83605 Phone: 208-459-4667 | |
Crystal Gail Belcourt, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605 Phone: 208-505-2950 Fax: 208-505-2955 |