person
Patricia Sullivan, RN
General Practice Registered Nurse in Santa Cruz, California
NPI 1043698459

Patricia Sullivan is a General Practice Registered Nurse based in Santa Cruz, CA and is specialized in General Practice. Patricia Sullivan practices in Santa Cruz, CA and has the professional credentials of RN. The NPI Number for Patricia Sullivan is 1043698459 and holds a License No. RN 655241 (California).

The current practice location address for Patricia Sullivan is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4170 and via fax at 831-454-4663.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
person
Provider Profile Details
NPI Number
1043698459
Provider Name
Patricia Sullivan
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
Provider Enumeration Date
05/18/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91891Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
ZZZ91892Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
ZZZ92069Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
FHC70044F 01 CA SANTA CRUZ COUNTY MEDI-CAL SITE PROVIDER#
RN 655241 01 CA REGISTERED NURSE LICENSE#
FHC70042F 01 CA SANTA CRUZ COUNTY MEDI-CAL SITE PROVIDER#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
RN 655241 (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.