Individual provider · Type 1 NPI
Mariah Sullivan, RN
General Practice Registered Nurse · Glenfield, NY
NPI number
1053252551
Active
Practice location
6537 Johnson Rd
Glenfield, NY 13343-4120
Mailing address
1738 Thayer Hill Rd
Boonville, NY 13309-1807
Other practice locations
- 1738 Thayer Hill Rd, Boonville, NY 13309-1807 · (315) 571-4016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 577174 (NY) |
General Practice Registered Nurse: Definition to come...
3 other providers at this address
About NPI 1053252551
Mariah Sullivan, RN's National Provider Identifier is 1053252551, issued on Apr 1, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Glenfield, NY. The record was last updated on Apr 1, 2026.