Mallory Sullivan PA

  • NPI 1750689311
According to our database, the NPI number for Mallory Sullivan PA is 1750689311 and activated since 13 years ago. Mallory Sullivan PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 593 Eddy St, Providence, RI 02903. You can also contact Mallory Sullivan PA via telephone number is (401) 519-1604. Provider NPI information was last updated on 08/06/2013.

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Overview of Mallory Sullivan PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/07/2011
  • Last updated: 08/06/2013

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA00585
  • License State: RI

Provider Mailing Address

  • Address: Po Box 9484
    Providence, RI 02940
  • Phone: 401-854-2500
  • Fax: 401-854-2519

Provider Practice Location

  • Address: 593 Eddy St
    Providence, RI 02903
  • Phone: 401-519-1604
  • Fax: 401-272-0538

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA00585
  • License State: RI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 06012011
  • Identifier Type: Other
  • Identifier State: RI
  • Issuer: UNITED HEALTHCARE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mallory Sullivan PA?
  • A: The npi number for Mallory Sullivan PA is 1750689311.
  • Q: What are Mallory Sullivan PA's specialties?
  • A: Mallory Sullivan PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Mallory Sullivan PA?
  • A: The medical license number for Mallory Sullivan PA is PA00585 and issued in RI in USA.
  • Q: Where is Mallory Sullivan PA practice location?
  • A: Mallory Sullivan PA is practicing at 593 Eddy St, Providence, RI 02903.
  • Q: How to contact Mallory Sullivan PA?
  • A: You can contact Mallory Sullivan PA via 401-519-1604.