Ann Nicole Sullivan

NPI 1073609707 - Physician Assistant - 363A00000X

NPI Details
NPI 1073609707
Gender Female
Enumeration Date 10/04/2006
Last Updated 08/06/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
4500 E 9TH AVE
SUITE 150
DENVER CO, 80220-3912, US
Phone (303) 407-0280
Fax (303) 407-0284
Business Location
4500 E 9TH AVE
SUITE 150
DENVER CO, 80220-3912, US
Phone (303) 407-0280
Fax (303) 407-0284
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA03286
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According to our database, Ann Nicole Sullivan NPI is 1073609707, taxonomy code is 363A00000X and license number is PA03286, license state is located at Texas. Ann Nicole Sullivan physically located at 4500 E 9th Ave, Denver CO, 80220-3912. NPI Number Ann Nicole Sullivan has the Individual type.

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1073609707 NPI number is provided on an as is basis without warranty of any kind. 1073609707 is maintained by the National Plan & Provider Enumeration System. The contents of Ann Nicole Sullivan are for informational purposes only.