Healthcare Provider Details

I. General information

NPI: 1396836714
Provider Name (Legal Business Name): DEBRA SULLIVAN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 DIVSIION STREET
DERBY CT
06418
US

IV. Provider business mailing address

130 DIVSIION STREET
DERBY CT
06418
US

V. Phone/Fax

Practice location:
  • Phone: 203-732-7403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number001807
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: