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Mary Sullivan
Nurse Practitioner in Portage, Michigan
NPI 1275627713

Mary Sullivan is a Nurse Practitioner based in Kalamazoo, MI. Mary Sullivan practices in Portage, MI. The NPI Number for Mary Sullivan is 1275627713 and holds a License No. 4704209403 (Michigan).

The current practice location address for Mary Sullivan is 8001 Angling Road, Portage, MI and can be reached out via phone at 269-329-0944.

Location: 8001 Angling Road, Portage, MI, 49009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275627713
Provider Name
Mary Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
8001 Angling Road, Portage, MI, 49009
Phone Number
269-329-0944
Fax Number
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8001 Angling Road
City
Portage
State
Michigan
Zip
49024
Phone Number
269-329-0944
Fax Number
person
Provider Business Mailing Address Details
Address
8001 Angling Road
City
Portage
State
Michigan
Zip
49024
Phone Number
269-329-0944
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704209403 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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