person
Ms. Stephanie M. Sullivan, MSN,NP
Obstetrics & Gynecology Nurse Practitioner in Berkeley, California
NPI 1730121864

Stephanie M. Sullivan is a Obstetrics & Gynecology Nurse Practitioner based in Berkeley, CA and is specialized in Obstetrics & Gynecology. Stephanie M. Sullivan practices in Berkeley, CA and has the professional credentials of MSN,NP. The NPI Number for Stephanie M. Sullivan is 1730121864 and holds a License No. 566514 (California).

The current practice location address for Stephanie M. Sullivan is 2001 Dwight Way, Berkeley, CA and can be reached out via phone at 510-204-5770 and via fax at 510-204-5749. You can also correspond with Stephanie M. Sullivan through the mailing address at 2001 DWIGHT WAY, BERKELEY, CA - 94704-2608 (mailing address contact number: 510-204-5770).

Location: 2001 Dwight Way, Berkeley, CA, 94704-2608
person
Provider Profile Details
NPI Number
1730121864
Provider Name
Stephanie M. Sullivan
Credential
MSN,NP
Provider Entity Type
Individual
Gender
Female
Address
2001 Dwight Way, Berkeley, CA, 94704-2608
Phone Number
510-204-5770
Fax Number
510-204-5749
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005665140 05 CA
institution
Provider Business Practice Location Address Details
Address
2001 Dwight Way
City
State
Zip
94704-2608
Phone Number
510-204-5770
Fax Number
510-204-5749
person
Provider Business Mailing Address Details
Address
2001 Dwight Way
City
State
Zip
94704-2608
Phone Number
510-204-5770
Fax Number
510-204-5749
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
566514 (California)
Definition
Definition to come...
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