Individual provider · Type 1 NPI

Lisa Sullivan, N.P.

Nurse Practitioner · Utica, NY

NPI number 1922081199 Active

Practice location

110 Business Park Dr
Utica, NY 13502-6302

Fax (315) 735-5226

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF301118-1 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1922081199

Lisa Sullivan, N.P.'s National Provider Identifier is 1922081199, issued on Nov 22, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Utica, NY. The record was last updated on Jul 8, 2010.