Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA JEAN SULLIVAN, PA
ActiveSANDRA JEAN SULLIVAN, PA is a Medical Physician Assistant healthcare provider located in NORTH CONWAY, New Hampshire. NPI 1003967407 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · NORTH CONWAY, NH
Registration Details
- NPI Number
- 1003967407
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2007 (19.558896337302 yrs)
- Last Updated
- Jan 8, 2026
- Licenses
-
3056 (NH)3056 (NH)
Practice Information
- Address
-
1976 WHITE MOUNTAIN HWY STE 105NORTH CONWAY, NH, 038605147Browse NH providers · Browse ZIP 03860
- Phone
- 6033564940
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.