Patricia Sullivan, NP is a
Nurse Practitioner based in Plymouth, California. Patricia Sullivan is licensed to practice in California (license number 10070) and her current practice location is
9279 Locust, Plymouth, California. She can be reached at her office (for appointments etc.) via phone at
(209) 245-6968.
NPI number for Patricia Sullivan is 1902929912 and her current mailing address is 10470 Old Placerville Rd, Suite 100, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902929912.
Provider's Profile
| Full Name | Patricia Sullivan |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 9279 Locust, Plymouth, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902929912
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 07/27/2015
Medical Identifiers
Medical identifiers for Patricia Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902929912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 10070 (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. Patricia 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 |
|---|
Patricia Sullivan, NP
10470 Old Placerville Rd, Suite 100,
Sacramento, CA 95827-2539
Ph: (800) 470-0071 | Patricia Sullivan, NP
9279 Locust,
Plymouth, CA 95669
Ph: (209) 245-6968 |
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