National Provider Identifier

Gabrielle L Sullivan, PMHNP

Gabrielle L Sullivan, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Lockport, NY and a listed phone number of (716) 433-2484.

NPI 1740941830Lockport, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1740941830
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
January 01, 2022
Last Updated
June 13, 2022

Practice Location

  • 637 Davison RD
  • Lockport, NY 14094-5339

Phone: (716) 433-2484

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
NPI
1740941830
Entity Type
Individual
Last Name
Sullivan
First Name
Gabrielle
Middle Name
L
Credential
PMHNP
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
637 Davison RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5339
Practice Country
US
Practice Phone
(716) 433-2484
Enumeration Date
January 01, 2022
Last Updated
June 13, 2022
Sex
Female
Sole Proprietor
No
Certification Date
June 13, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X)