Individual provider · Type 1 NPI
David Yutaka Sullivan, FNP
Family Nurse Practitioner · Winslow, AZ
NPI number
1962751545
Active
Practice location
500 Indiana Ave
Winslow, AZ 86047-2169
Fax (928) 289-6229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN174273 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | 224965 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1962751545
David Yutaka Sullivan, FNP's National Provider Identifier is 1962751545, issued on Aug 29, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Winslow, AZ. The record was last updated on Apr 25, 2019.