Sullivan, Lois Walters
Sullivan, Lois Walters is an individual health care provider with primary practice located at 2503 N Queen St , Kinston NC 28501-1632. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Sullivan, Lois Walters can be contacted via phone (252) 523-6000.Contact Information
Primary practice address
2503 N Queen St
Kinston NC 28501-1632
Phone: (252) 523-6000
Fax: (252) 527-8500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 300327 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 300327 | North Carolina |
Profile Details
| NPI number | 1659354777 |
|---|---|
| LBN Legal business name | Sullivan, Lois Walters |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 18th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659354777 | NPPES |
| North Carolina | MEDICAID | 7000990 |
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