person
Debra Sullivan, PA
Medical Physician Assistant in Derby, Connecticut
NPI 1396836714

Debra Sullivan is a Medical Physician Assistant based in Derby, CT and is specialized in Medical. Debra Sullivan practices in Derby, CT and has the professional credentials of PA. The NPI Number for Debra Sullivan is 1396836714 and holds a License No. 001807 (Connecticut).

The current practice location address for Debra Sullivan is 130 Divsiion Street, Derby, CT and can be reached out via phone at 203-732-7403.

Location: 130 Divsiion Street, Derby, CT, 06418
person
Provider Profile Details
NPI Number
1396836714
Provider Name
Debra Sullivan
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
130 Divsiion Street, Derby, CT, 06418
Phone Number
203-732-7403
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
130 Divsiion Street
City
State
Zip
06418
Phone Number
203-732-7403
Fax Number
person
Provider Business Mailing Address Details
Address
130 Divsiion Street
City
State
Zip
06418
Phone Number
203-732-7403
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001807 (Connecticut)
Definition
Definition to come...
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