Individual provider · Type 1 NPI
Denise Luise Sullivan, APRN
Adult Health Nurse Practitioner · Bronx, NY
NPI number
1104996164
Active
Practice location
1400 Pelham Pkwy S, Jacobi Medical Center Building 1 Room 1226
Bronx, NY 10461-1138
Fax (718) 918-7902
Mailing address
2217 Sultana Dr
Yorktown Heights, NY 10598-3704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F304055 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1104996164
Denise Luise Sullivan, APRN's National Provider Identifier is 1104996164, issued on Nov 8, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.