person
Stayce K Sullivan
Acute Care Nurse Practitioner in San Rafael, California
NPI 1770139123

Stayce K Sullivan is an Acute Care Nurse Practitioner based in San Rafael, CA and is specialized in Acute Care. Stayce K Sullivan practices in San Rafael, CA. The NPI Number for Stayce K Sullivan is 1770139123 and holds a License No. 95012073 (California).

The current practice location address for Stayce K Sullivan is 515 Northgate Dr., San Rafael, CA and can be reached out via phone at 415-202-9990 and via fax at 415-202-0102.

Location: 515 Northgate Dr., San Rafael, CA, 94903-1546
person
Provider Profile Details
NPI Number
1770139123
Provider Name
Stayce K Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
515 Northgate Dr., San Rafael, CA, 94903-1546
Phone Number
415-202-9990
Fax Number
415-202-0102
Provider Enumeration Date
08/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
515 Northgate Dr.
City
State
Zip
94903-9490
Phone Number
415-202-9990
Fax Number
415-202-0102
person
Provider Business Mailing Address Details
Address
515 Northgate Dr.
City
State
Zip
94903-9490
Phone Number
415-202-9990
Fax Number
415-202-0102
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
95012073 (California)
Definition
Definition to come...
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