Johanna Sullivan, PA
Physician Assistant in North Haven, Connecticut
1952036394- Practice location
- 370 Bassett RD, North Haven, CT 06473-4201
- Phone
- 917-435-0238
- Fax
- —
- Last updated
- April 28, 2023
Johanna Sullivan is a Physician Assistant based in North Haven, CT. Johanna Sullivan practices in North Haven, CT and has the professional credentials of PA. The NPI Number for Johanna Sullivan is 1952036394. The current practice location address for Johanna Sullivan is 370 Bassett RD, North Haven, CT 06473-4201 and can be reached out via phone at 917-435-0238.
Provider Profile Details
- NPI Number
- 1952036394
- Provider Name
- Johanna Sullivan
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 370 Bassett RD, North Haven, CT 06473-4201
- Phone Number
- 917-435-0238
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 20, 2022
- Last Update Date
- April 28, 2023
- Certification Date
- April 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 370 Bassett RD
North Haven, CT 06473-4201 - City
- North Haven
- State
- Connecticut
- Zip
- 06473-4201
- Phone Number
- 917-435-0238
Provider Business Mailing Address Details
- Address
- 370 Bassett RD
North Haven, CT 06473-4201 - City
- North Haven
- State
- CT
- Zip
- 06473-4201
- Phone Number
- 917-435-0238
License Information
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Johanna Sullivan, PA?
The NPI number of Johanna Sullivan, PA is 1952036394. It was assigned on July 20, 2022 and is currently active in the NPPES registry.
What is the specialty of Johanna Sullivan, PA?
Johanna Sullivan, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Johanna Sullivan, PA practice?
The practice location is 370 Bassett RD, North Haven, CT 06473-4201. The office can be reached at 917-435-0238 (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 1952036394 directly on the NPPES registry website.