Individual provider · Type 1 NPI

Louis Sully, PA

Medical Physician Assistant · Omaha, NE

NPI number 1346212966 Active

Practice location

720 N 129th St
Omaha, NE 68154-6109

Fax (402) 397-0713

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X895 (NE)

Medical Physician Assistant: Definition to come...

11 other providers at this address

Other medical physician assistant providers in Omaha

See all in Omaha →

About NPI 1346212966

Louis Sully, PA's National Provider Identifier is 1346212966, issued on Feb 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Omaha, NE. The record was last updated on Jan 19, 2016.