Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY SULLIVAN
ActiveMARY SULLIVAN is a Nurse Practitioner healthcare provider located in PORTAGE, Michigan. NPI 1275627713 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · PORTAGE, MI
Registration Details
- NPI Number
- 1275627713
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2006 (19.825892267988 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4704209403 (MI)
Practice Information
- Address
-
8001 ANGLING ROADPORTAGE, MI, 49024Browse MI providers · Browse ZIP 49024
- Phone
- 2693290944
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in PORTAGE, MI
| Name | Credential | NPI |
|---|---|---|
| BONITA J O'REILLY | FNP | 1255333860 |
| NANCY DIANE AMBS | NP | 1902863624 |
| PATRICIA HAGERMAN | — | 1689780272 |
| MARY ELLEN YEALIN | — | 1164534582 |
| JENA RAE KING | FNP | 1467647214 |
| RONALD KEN LADOUCE | NP | 1154870772 |
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.