Individual provider · Type 1 NPI

Laura Nastassja Sullivan, PA

Physician Assistant · Apex, NC

NPI number 1124455704 Active

Practice location

1011 Pemberton Hill Rd, Ste 101
Apex, NC 27502-4266

Mailing address

PO Box 751274
Charlotte, NC 28275-1274

Other practice locations

  • 11200 Governor Manly Way Ste 114, Raleigh, NC 27614-7360 · (919) 570-7660

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-04483 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

7 other providers at this address

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About NPI 1124455704

Laura Nastassja Sullivan, PA's National Provider Identifier is 1124455704, issued on Sep 27, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Apex, NC. The record was last updated on Jun 1, 2022.