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Ms. Pamela Sue Sullivan, GNP
Gerontology Nurse Practitioner in Rancho Mirage, California
NPI 1336267699

Pamela Sue Sullivan is a Gerontology Nurse Practitioner based in Fort Myers, CA and is specialized in Gerontology. Pamela Sue Sullivan practices in Rancho Mirage, CA and has the professional credentials of GNP. The NPI Number for Pamela Sue Sullivan is 1336267699 and holds a License No. 262478 (California).

The current practice location address for Pamela Sue Sullivan is 40055 Bob Hope Dr Ste B, Rancho Mirage, CA and can be reached out via phone at 760-202-3946 and via fax at 760-770-4392.

Location: 40055 Bob Hope Dr Ste B, Rancho Mirage, CA, 33907-1410
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Provider Profile Details
NPI Number
1336267699
Provider Name
Pamela Sue Sullivan
Credential
GNP
Provider Entity Type
Individual
Gender
Female
Address
40055 Bob Hope Dr Ste B, Rancho Mirage, CA, 33907-1410
Phone Number
760-202-3946
Fax Number
760-770-4392
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1409819 01 CA CIGNA
4984336 01 CA AETNA
institution
Provider Business Practice Location Address Details
Address
40055 Bob Hope Dr Ste B
City
State
Zip
92270-3940
Phone Number
760-202-3946
Fax Number
760-770-4392
person
Provider Business Mailing Address Details
Address
40055 Bob Hope Dr Ste B
City
State
Zip
92270-3940
Phone Number
760-202-3946
Fax Number
760-770-4392
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Gerontology
Taxonomy
License No.
12764 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
262478 (California)
Definition
Definition to come...
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