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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIA SULLIVAN, PA-C

Active Sole Proprietor

MARIA SULLIVAN, PA-C is a Medical Physician Assistant healthcare provider located in BRIDGETON, Missouri. NPI 1710541040 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BRIDGETON, MO

Registration Details

NPI Number
1710541040
Provider Type
Individual
Gender
Female
NPI Issued
Apr 22, 2019 (7.3587444507261 yrs)
Last Updated
Mar 6, 2024
Licenses
PA56937 (CA)
2020030529 (MO)
Sole Proprietor
Yes

Practice Information

Address
3440 DE PAUL LN STE 113
BRIDGETON, MO, 630443546
Browse MO providers · Browse ZIP 63044
Phone
3149426464
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BRIDGETON, MO

Name Credential NPI
MISS SUMAIRA MEAH PA-C 1376611392
CAROLINE ROSE HOFFMAN PA-C 1255025508
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.