Individual provider · Type 1 NPI
Melissa Anne Sullivan, FNP
Family Nurse Practitioner · Encinitas, CA
NPI number
1790086221
Active
Practice location
141 E Glaucus St, Apt A
Encinitas, CA 92024-1603
Mailing address
141 E Glaucus St Apt A
Encinitas, CA 92024-1603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 19857 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1790086221
Melissa Anne Sullivan, FNP's National Provider Identifier is 1790086221, issued on Nov 15, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Encinitas, CA. The record was last updated on Sep 16, 2013.