Individual provider · Type 1 NPI
Samantha A. Sullivan
Adult Psychiatric/Mental Health Registered Nurse · Buffalo, NY
NPI number
1780447979
Active
Practice location
400 Forest Ave
Buffalo, NY 14213-1207
Fax (716) 816-2267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 752761 (NY) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1780447979
Samantha A. Sullivan's National Provider Identifier is 1780447979, issued on Feb 1, 2024. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Buffalo, NY. The record was last updated on Feb 1, 2024.