National Provider Identifier
Marilyn Sullivan, NP
Marilyn Sullivan, NP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Webster, NY and a listed phone number of (585) 670-0507.
Profile Overview
- NPI
- 1003929373
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- August 17, 2006
- Last Updated
- May 24, 2021
Practice Location
- 1527 Empire Blvd
- Webster, NY 14580-2103
Phone: (585) 670-0507
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1003929373
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Marilyn
- Name Prefix
- MS.
- Credential
- NP
- Mailing Street Address
- 1527 Empire Blvd
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-2103
- Mailing Country
- US
- Mailing Phone
- (585) 670-0507
- Mailing Fax
- (585) 645-0939
- Practice Street Address
- 1527 Empire Blvd
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-2103
- Practice Country
- US
- Practice Phone
- (585) 670-0507
- Practice Fax
- (585) 645-0939
- Enumeration Date
- August 17, 2006
- Last Updated
- May 24, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 24, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Mental Health Counselor (101YM0800X)