Sullivan, Rosalie M

Sullivan, Rosalie M is an individual health care provider with primary practice located at 511 North Main , Fort Stockton TX 79735. 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 / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sullivan, Rosalie M can be contacted via phone (432) 336-2291.

Contact Information

Primary practice address
511 North Main Fort Stockton TX 79735
Phone: (432) 336-2291
Fax: (432) 336-3557
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 221622 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 221622 Texas

Profile Details

NPI number 1750354304
LBN Legal business name Sullivan, Rosalie M
Credentials FAMILY NURSE PRACTIT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750354304 NPPES
Texas Other 0042GW BC BS

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