ELIZABETH THERESA SULLIVAN


Address: 3400 Civic Center Blvd, 4 West, Philadelphia, PA 19104
Phone: 2156622300

ELIZABETH THERESA SULLIVAN (NPI# 1871082636) 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) 1871082636
Entity Type Individual
Full Name ELIZABETH THERESA SULLIVAN
Credential CNS
Practice Address 3400 Civic Center Blvd
4 West
Philadelphia
PA 19104
Mailing Address 3400 Civic Center Blvd
4 West
Philadelphia
PA 19104-5127
Practice Telephone 2156622300
Practice Fax Number 2156140418
Mailing Telephone 2156622300
Mailing Fax Number 2156140418
Enumeration Date 2018-05-08
Last Update Date 2018-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
RN304635L PA Nursing Service Providers

Other Providers ELIZABETH SULLIVAN

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1164773479 Elizabeth Ann Sullivan Case Manager/Care Coordinator 14 Cat Ridge Rd, North Salem, NY 10560-3300 2012-09-26
1659638195 Elizabeth Ann-claire Sullivan Psychologist 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 2012-04-23
1629362645 Elizabeth Ann Sullivan Nurse Practitioner 3915 Sherman Ave, Saint Joseph, MO 64506-3649 2011-06-07
1528262748 Elizabeth A Sullivan Counselor 3012 Travis Ct, Midland, MI 48642-3969 2007-06-12
1265581631 Elizabeth Ann Sullivan Social Worker 8245 20th Ave Ne, #4, Seattle, WA 98115-4407 2007-01-09
1881767614 Elizabeth W Sullivan Physical Therapist 229 Saluda Springs Rd, Lexington, SC 29072 2006-11-17
1376655837 Elizabeth A. Sullivan Nurse Practitioner 16268 Bennett Road, Uva Primary Care - Locust Grove, Culpeper, VA 22701 2006-08-31

Office Location

Street Address 3400 CIVIC CENTER BLVD
4 WEST
City PHILADELPHIA
State PA
Zip Code 19104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027727 Joel D Glickman Internal Medicine 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 2005-07-18
1841891058 Abigail Brooke Horowitz Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-11-04
1073129532 Samuel Kovell Physician Assistant 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-21
1306451695 Farzad Nourollah-zadeh Oral Medicinist 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-13
1609492917 Mosetta Harris Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-06-23
1063032530 Monique Maria Tee Internal Medicine 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-24
1609495290 Katharine Freeman Michel Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104 2020-04-13
1609495498 Taha Samir Ghouleh Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-11
1952930554 Danielle Marie Lamarra Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-06
1982232658 Jasmine Hwang Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063986578 Waliyyah Shahidah Muhsin Registered Nurse 1348 Bainbridge St, Philadelphia, PA 19147-1810 2019-01-17
1871817577 Hilda Rodriguez Registered Nurse 5600 Tabor Rd, Philadelphia, PA 19120 2010-03-24
1831206549 Mercy Management of Sepa Registered Nurse 501 S 54th St, Suite 126, Philadelphia, PA 19143-1900 2006-08-25
1629080411 Walter A Lumley Registered Nurse 3900 Woodland Ave, Philadelphia, PA 19104-4551 2006-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588286041 Emily Brooke Sapen Registered Nurse 90 Hope Dr Ste 3101, Hershey, PA 17033-2036 2020-05-07
1831736222 Earnest Clayton Church Registered Nurse 1409 Hampden Blvd, Reading, PA 19604-1827 2019-12-04
1154886752 Carmen Latife Pfeiffer Registered Nurse 104 Scenic Hill Dr, Carnegie, PA 15106-2258 2019-02-07
1437640745 Barbara Morrison Registered Nurse 700 Spruce St Ste 4004th, Phila, PA 19106-4022 2018-05-22
1265963201 Sandra Pileggi Registered Nurse 668 Old Stage Rd, Albrightsville, PA 18210-3302 2017-03-22
1922340587 Julia Lynn Life Registered Nurse 113 Windrush Ln, Mechanicsburg, PA 17055-9236 2013-03-21
1619135423 Joan Loudy Registered Nurse 300 S 6th Ave, West Reading, PA 19611-1426 2008-05-29
1932381555 Charlotte B. Schug Registered Nurse 7050 Camp Hill Rd, Fort Washington, PA 19034-2210 2007-12-05
1316015670 Pharm-assist Inc Registered Nurse 1256 Pennsylvania Ave, Tyrone, PA 16686-1618 2006-12-02
1306877782 Ppg Script Inc Registered Nurse 111 Mill St, Grove City, PA 16127-1514 2006-07-05
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Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19104

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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