Individual provider · Type 1 NPI
Sandra Jean Sullivan, PA
Medical Physician Assistant · North Conway, NH
NPI number
1003967407
Active
Practice location
1976 White Mountain Hwy Ste 105
North Conway, NH 03860-5147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 3056 (NH) |
| Physician Assistant | 363A00000X | 3056 (NH) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Mainehealth New Hampshire Ambulatory CareUrgent Care Clinic/Center North Conway, NH NPI 1356145148
- Abigail Blake Maynard, FNPFamily Nurse Practitioner North Conway, NH NPI 1255619250
- Christopher George Lamphere, PA-CPhysician Assistant North Conway, NH NPI 1528657269
- Michael O. Kane, APRNFamily Nurse Practitioner North Conway, NH NPI 1851127245
About NPI 1003967407
Sandra Jean Sullivan, PA's National Provider Identifier is 1003967407, issued on Jan 15, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in North Conway, NH. The record was last updated on Jan 8, 2026.