1073355772 NPI number — MELISSA L SULLIVAN REGISTERED NURSE

Table of content: MELISSA L SULLIVAN REGISTERED NURSE (NPI 1073355772)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073355772 NPI number — MELISSA L SULLIVAN REGISTERED NURSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SULLIVAN
Provider First Name:
MELISSA
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
REGISTERED NURSE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GRABAU
Provider Other First Name:
MELISSA
Provider Other Middle Name:
L
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
REGISTERED NURSE
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1073355772
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
848 N SUNRISE BLVD
Provider Second Line Business Mailing Address:
SUITE 102 BLD A
Provider Business Mailing Address City Name:
CAMANO ISLAND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98282
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-629-2524
Provider Business Mailing Address Fax Number:
360-610-4979

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
848 N SUNRISE BLVD
Provider Second Line Business Practice Location Address:
SUITE 102 BLD A
Provider Business Practice Location Address City Name:
CAMANO ISLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98282
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-629-2524
Provider Business Practice Location Address Fax Number:
360-610-4979
Provider Enumeration Date:
06/12/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WG0000X , with the licence number:  RN60421811 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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