Individual provider · Type 1 NPI
Amy Iris Sullivan, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Clifton Park, NY
NPI number
1194463398
Active
Practice location
939 Route 146 Ste 620
Clifton Park, NY 12065-3629
Mailing address
PO Box 14890
Albany, NY 12212-4890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404245 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1194463398
Amy Iris Sullivan, PMHNP's National Provider Identifier is 1194463398, issued on May 26, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clifton Park, NY. The record was last updated on Jan 21, 2025.