Individual provider · Type 1 NPI
Mary Martin Sullens, RN FNP MHS
Obstetrics & Gynecology Nurse Practitioner · Redding, CA
NPI number
1821116914
Active
Practice location
2625 Edith Avenue, Suite B
Redding, CA 96001
Fax (530) 225-7293
Mailing address
3345 Timbercreek Drive
Redding, CA 96002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | NPF 6314 (CA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
Other obstetrics & gynecology nurse practitioner providers in Redding
About NPI 1821116914
Mary Martin Sullens, RN FNP MHS's National Provider Identifier is 1821116914, issued on Mar 27, 2007. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Redding, CA. The record was last updated on Jul 8, 2007.