Individual provider · Type 1 NPI
Tricia Sullivan, NP
Adult Health Nurse Practitioner · Bethpage, NY
NPI number
1295401057
Active
Practice location
4045 Hempstead Tpke Fl 3
Bethpage, NY 11714-5611
Mailing address
19 Carol St
Lynbrook, NY 11563-1103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 310330 (NY) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1295401057
Tricia Sullivan, NP's National Provider Identifier is 1295401057, issued on Aug 20, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bethpage, NY. The record was last updated on Aug 20, 2021.