Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. PAMELA SUE SULLIVAN, GNP
Active Sole ProprietorMS. PAMELA SUE SULLIVAN, GNP is a Gerontological Nurse Practitioner healthcare provider located in RANCHO MIRAGE, California. NPI 1336267699 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · RANCHO MIRAGE, CA
Registration Details
- NPI Number
- 1336267699
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2007 (19.424665939459 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
262478 (CA)12764 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
40055 BOB HOPE DR STE BRANCHO MIRAGE, CA, 922703940Browse CA providers · Browse ZIP 92270
- Phone
- 7602023946
- Fax
- 7607704392
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
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.