Individual provider · Type 1 NPI
Meagan M. Sullivan
Adult Health Nurse Practitioner · Lindenhurst, NY
NPI number
1225664170
Active
Practice location
910 Route 109 Ste A
Lindenhurst, NY 11757-1158
Fax (631) 397-0919
Other practice locations
- 910 Route 109 Ste A, Lindenhurst, NY 11757-1158 · (631) 383-9967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 309601 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | 309601 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 309601 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1225664170
Meagan M. Sullivan's National Provider Identifier is 1225664170, issued on Mar 22, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lindenhurst, NY. The record was last updated on Jul 12, 2024.