Sullivan, Amy Beth

Sullivan, Amy Beth is an individual health care provider with primary practice located at 3330 Ptarmigan Ln , Helena MT 59602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sullivan, Amy Beth can be contacted via phone (406) 457-4180.

Contact Information

Primary practice address
3330 Ptarmigan Ln Helena MT 59602
Phone: (406) 457-4180
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 22036 Montana

Profile Details

NPI number 1770615585
LBN Legal business name Sullivan, Amy Beth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770615585 NPPES
Montana MEDICAID 4307823

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