Individual provider · Type 1 NPI

Hana Won Sullivan, AGNP-C

Adult Health Nurse Practitioner · Painted Post, NY

NPI number 1356012504 Active

Practice location

240 S Hamilton St Ste 201
Painted Post, NY 14870-9791

Fax (701) 248-1616

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X310339 (NY)

Adult Health Nurse Practitioner: Definition to come...

About NPI 1356012504

Hana Won Sullivan, AGNP-C's National Provider Identifier is 1356012504, issued on Sep 27, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Painted Post, NY. The record was last updated on Sep 4, 2025.