Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STAYCE K SULLIVAN
ActiveSTAYCE K SULLIVAN is a Acute Care Nurse Practitioner healthcare provider located in SAN RAFAEL, California. NPI 1770139123 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1770139123
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2019 (7.0459141684202 yrs)
- Last Updated
- Aug 12, 2019
- License
-
95012073 (CA)
Practice Information
- Address
-
515 NORTHGATE DR.STE. 101SAN RAFAEL, CA, 949039490Browse CA providers · Browse ZIP 94903
- Phone
- 4152029990
- Fax
- 4152020102
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
Other Acute Care Nurse Practitioner Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| LANCE BENEDICT | NP | 1932293636 |
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.