Sullivan, Maureen

Sullivan, Maureen is an individual health care provider with primary practice located at 1919 Lathrop St Suite 217, Fairbanks AK 99701-5937. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Sullivan, Maureen can be contacted via phone (907) 456-8191.

Contact Information

Primary practice address
1919 Lathrop St Suite 217 Fairbanks AK 99701-5937
Phone: (907) 456-8191
Fax: (907) 456-8192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F420761-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F001104-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APN36126 Montana
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1085 Alaska

Profile Details

NPI number 1427010057
LBN Legal business name Sullivan, Maureen
Credentials CNM, WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Oct 11th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427010057 NPPES
New York MEDICAID 02494035

Popular Providers