Individual provider · Type 1 NPI

Linda S. Sullivan, NP

Nurse Practitioner · Fairfax, VA

NPI number 1174593818 Active

Practice location

12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center
Fairfax, VA 22033-3952

Mailing address

2101 E Jefferson St, Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0024080712 (VA)
Nurse Practitioner Primary 363L00000X0024080712 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174593818

Linda S. Sullivan, NP's National Provider Identifier is 1174593818, issued on Jan 25, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairfax, VA. The record was last updated on Jun 3, 2021.