National Provider Identifier

Julie Marie Sullivan, PMHNP

Julie Marie Sullivan, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Eden, NY and a listed phone number of (716) 310-4403.

NPI 1093468050Eden, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1093468050
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
January 31, 2022
Last Updated
January 31, 2022

Practice Location

  • 8949 Hammond Dr
  • Eden, NY 14057-9561

Phone: (716) 310-4403

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)

Endpoints

  • julie@iwpsych.com

    Direct Messaging Address | Eden, NY 14057

    Work Email

Full Record
NPI
1093468050
Entity Type
Individual
Last Name
Sullivan
First Name
Julie
Middle Name
Marie
Credential
PMHNP
Mailing Street Address
8949 Hammond Dr
Mailing City
Eden
Mailing State
NY
Mailing ZIP Code
14057-9561
Mailing Country
US
Mailing Phone
(716) 310-4403
Practice Street Address
8949 Hammond Dr
Practice City
Eden
Practice State
NY
Practice ZIP Code
14057-9561
Practice Country
US
Practice Phone
(716) 310-4403
Enumeration Date
January 31, 2022
Last Updated
January 31, 2022
Sex
Female
Sole Proprietor
No
Certification Date
January 31, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X)