Individual provider · Type 1 NPI
Courtney Louise Sullivan
Family Nurse Practitioner · New York, NY
NPI number
1144831603
Active
Practice location
1 Gustave Levy Pl.
New York, NY 10029
Fax (212) 202-4590
Mailing address
1176 5th Ave
New York, NY 10029-6503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 723317 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 346579 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1144831603
Courtney Louise Sullivan's National Provider Identifier is 1144831603, issued on Aug 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Nov 12, 2020.