ELIZABETH JEAN SULLIVAN


Address: 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071
Phone: 5096342900

ELIZABETH JEAN SULLIVAN (NPI# 1568545853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568545853
Entity Type Individual
Full Name ELIZABETH JEAN SULLIVAN
Credential RN
Practice Address 29 Nespelem/sanpoil St
Nespelem
WA 99155-0071
Practice Telephone 5096342900
Practice Fax Number 5096342945
Mailing Telephone 5096342900
Mailing Fax Number 5096342945
Enumeration Date 2006-10-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
IL Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 7100100 05

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Office Location

Street Address 29 NESPELEM/SANPOIL ST
City NESPELEM
State WA
Zip Code 99155-0071

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639191091 Kathy A Winzer Clinic/Center 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071 2006-07-24
1326122540 James R Moore Spec/Tech, Pathology 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071 2006-10-24
1477636769 Sheri Lee Shumway Registered Nurse 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071 2006-10-23
1922189943 Janice L Reyes Registered Nurse 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071 2006-10-17
1902996432 Jerry Zee Pharmacist 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071 2006-10-13
1184714628 Samuel Michael Habiel Pharmacist 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071 2006-10-13
1538259072 Thomas Andrew Sticht Pharmacist 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071 2006-10-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841655727 Brittany Carden Counselor 21 Colville St, Nespelem, WA 99155 2015-12-21
1265855704 Linda Charlene Bart Counselor 19 Sanpoil St, Nespelem, WA 99155 2014-02-03
1811104334 Lee Vernon Elton Emergency Medical Technician, Intermediate 1 Colville Streets, Nespelem, WA 99155 2007-05-16
1063542645 Colville Indian Health Center Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Agency Campus Hwy 155, Nespelem, WA 99155 2007-03-06
1306993662 Gloria H Angelo Pharmacist 29 Nespelem-sanpoil, Agency Campus, Nespelem, WA 99155 2007-01-05
1174607931 Sandra Lee Nomee Spec/Tech, Pathology 29 9th Sanpoil Street, Colville Confederated Tribes Indian Health Services, Nespelem, WA 99155 2006-10-25
1265529598 Confederated Tribes of The Colville Reservation Ambulance 405 10th St, Nespelem, WA 99155 2006-10-06
1316954118 Jose Javier Gomez Psychologist 1 Colville St, Nespelem, WA 99155 2006-08-02
1922038884 Donald L Sanford Optometrist 29 Nespelem/san Poil St, Nespelem, WA 99155 2006-07-04
1639131386 Larry D Smith Emergency Medicine 19 Lakes Street, Nespelem, WA 99155 2006-04-06
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

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1013568559 Jennifer Kay Kirwan Registered Nurse 108 Garfield St, Seattle, WA 98109-3127 2019-09-26
1265998306 Teresa A Carden Registered Nurse 615 E 22nd St, Vancouver, WA 98663-3208 2019-02-13
1619448826 Edward Alvon Murray Jr. Registered Nurse Bldg 9025 5th St, Tacoma, WA 98431-0001 2018-12-16
1285102293 Andrea Sander Registered Nurse 19883 12th Ave Ne, Poulsbo, WA 98370 2018-11-07
1699242826 Heidi Ericka Jackson Registered Nurse 15606 Ne 12th Way, Vancouver, WA 98684 2018-10-25
1013401306 Rebecca Lynn Calderara Registered Nurse 3815 S Othello St Apt 202, Seattle, WA 98118-3510 2018-06-19
1629594601 Kelly Mcintire Registered Nurse 3701 Pacific Ave Ste 200, Tacoma, WA 98418-7838 2017-08-21
1962927384 Linda Louise Tourigny Registered Nurse 345 6th St Suite 300, Bremerton, WA 98337 2017-08-07
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Competitor

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City NESPELEM
Zip Code 99155

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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