Debra Sullivan, PA
Physician Assistant, Medical in Derby, Connecticut
1396836714- Practice location
- 130 Divsiion Street, Derby, CT 06418
- Phone
- 203-732-7403
- Fax
- —
- Last updated
- July 8, 2007
Debra Sullivan is a Physician Assistant, Medical based in Derby, CT. 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 (CT). The current practice location address for Debra Sullivan is 130 Divsiion Street, Derby, CT 06418 and can be reached out via phone at 203-732-7403.
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
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 28, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Divsiion Street
Derby, CT 06418 - City
- Derby
- State
- Connecticut
- Zip
- 06418
- Phone Number
- 203-732-7403
Provider Business Mailing Address Details
- Address
- 130 Divsiion Street
Derby, CT 06418 - City
- Derby
- State
- CT
- Zip
- 06418
License Information
- License Number
- 001807
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Derby, CT
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Frequently Asked Questions
What is the NPI number of Debra Sullivan, PA?
The NPI number of Debra Sullivan, PA is 1396836714. It was assigned on September 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Debra Sullivan, PA?
Debra Sullivan, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001807.
Where does Debra Sullivan, PA practice?
The practice location is 130 Divsiion Street, Derby, CT 06418. The office can be reached at 203-732-7403 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396836714 directly on the NPPES registry website.