Individual provider · Type 1 NPI
Pamela Sue Sullivan, GNP
Gerontology Nurse Practitioner · Rancho Mirage, CA
NPI number
1336267699
Active
Practice location
40055 Bob Hope Dr Ste B
Rancho Mirage, CA 92270-3940
Fax (760) 770-4392
Mailing address
2160 Colonial Blvd
Fort Myers, FL 33907-1410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 262478 (CA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 12764 (CA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1336267699
Pamela Sue Sullivan, GNP's National Provider Identifier is 1336267699, issued on Mar 26, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Rancho Mirage, CA. The record was last updated on Jul 21, 2022.