Sullivan, Lisa Ann

Sullivan, Lisa Ann is an individual health care provider with primary practice located at 3998 Fair Ridge Dr Ste 320, Fairfax VA 22033-2907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Sullivan, Lisa Ann can be contacted via phone (703) 295-9360.

Contact Information

Primary practice address
3998 Fair Ridge Dr Ste 320 Fairfax VA 22033-2907
Phone: (703) 295-9360
Fax: (703) 295-9369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN58779 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024171328 Virginia

Profile Details

NPI number 1952650236
LBN Legal business name Sullivan, Lisa Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2012
Last updated Mar 25th, 2015 - about 11 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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