Individual provider · Type 1 NPI
Dianna Sullivan, NP
Nurse Practitioner · Lindenhurst, NY
Practice location
910 Route 109 Ste A
Lindenhurst, NY 11757-1158
Fax (631) 631-3970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 360123 (NY) |
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 1184548356
Dianna Sullivan, NP's National Provider Identifier is 1184548356, issued on Aug 8, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lindenhurst, NY. The record was last updated on Aug 8, 2026.