Active NPIIndividual provider

Dana R Sullivan, MSN, RN, CPNP-PC

Nurse Practitioner, Pediatrics in Providence, Rhode Island

NPI Number1689124109
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
—
Last updated
July 21, 2022

Dana R Sullivan is a Nurse Practitioner, Pediatrics based in Providence, RI. Dana R Sullivan practices in Providence, RI and has the professional credentials of MSN, RN, CPNP-PC. The NPI Number for Dana R Sullivan is 1689124109 and holds a License No. 1170573 (MA). The current practice location address for Dana R Sullivan is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-6680.

Provider Profile Details

NPI Number
1689124109
Provider Name
Dana R Sullivan
Credential
MSN, RN, CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-6680
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
October 7, 2016
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-6680
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
125 Whipple St
Providence, RI 02908-3258
City
Providence
State
RI
Zip
02908-3258
Phone Number
401-854-2504

License Information

License Number (1)
1170573
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
20162082
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (3)
APRN01627
License State (3)
RI
Taxonomy (3)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dana R Sullivan, MSN, RN, CPNP-PC?

The NPI number of Dana R Sullivan, MSN, RN, CPNP-PC is 1689124109. It was assigned on October 7, 2016 and is currently active in the NPPES registry.

What is the specialty of Dana R Sullivan, MSN, RN, CPNP-PC?

Dana R Sullivan, MSN, RN, CPNP-PC is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number 1170573.

Where does Dana R Sullivan, MSN, RN, CPNP-PC practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-6680 (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 1689124109 directly on the NPPES registry website.

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