National Provider Identifier
Charles Brian Sullivan, PMHNP
Charles Brian Sullivan, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 753-4183.
Profile Overview
- NPI
- 1447092671
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- June 10, 2024
- Last Updated
- July 09, 2024
Practice Location
- 130 S Plymouth Ave
- Rochester, NY 14614-2209
Phone: (585) 753-4183
Mailing Address
- 130 S Plymouth Ave
- Rochester, NY 14614-2213
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1447092671
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Charles
- Middle Name
- Brian
- Credential
- PMHNP
- Mailing Street Address
- 130 S Plymouth Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14614-2213
- Mailing Country
- US
- Mailing Phone
- (585) 753-4183
- Practice Street Address
- 130 S Plymouth Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14614-2209
- Practice Country
- US
- Practice Phone
- (585) 753-4183
- Enumeration Date
- June 10, 2024
- Last Updated
- July 09, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)