National Provider Identifier
Callais Marie Sullivan, FNP
Callais Marie Sullivan, FNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-2100.
Profile Overview
- NPI
- 1396422325
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- June 30, 2023
- Last Updated
- July 31, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-2100
Mailing Address
- 601 Elmwood Ave Box 278984
- Rochester, NY 14642-0001
Specialties
- Nurse Practitioner (363L00000X)
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1396422325
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Callais
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- FNP
- Mailing Street Address
- 601 Elmwood Ave Box 278984
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-2808
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2100
- Enumeration Date
- June 30, 2023
- Last Updated
- July 31, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- July 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Family Nurse Practitioner (363LF0000X)