Individual provider · Type 1 NPI

Autumn M. Webb-Sullivan

Student in an Organized Health Care Education/Training Program · Timonium, MD

NPI number 1578469250 Active

Practice location

2118 Greenspring Dr
Timonium, MD 21093-3112

Mailing address

204 N 3rd St
New Freedom, PA 17349-9435

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1578469250

Autumn M. Webb-Sullivan's National Provider Identifier is 1578469250, issued on Oct 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Timonium, MD. The record was last updated on Oct 19, 2026.