Individual provider · Type 1 NPI

Haley Elizabeth Sullivan, PA

Physician Assistant · Portland, ME

NPI number 1144060674 Active

Practice location

22 Bramhall St
Portland, ME 04102-3134

Fax (207) 662-6326

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2822 (ME)

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…

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About NPI 1144060674

Haley Elizabeth Sullivan, PA's National Provider Identifier is 1144060674, issued on May 31, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, ME. The record was last updated on Jul 15, 2026.