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NPI Code Detail

MEDICARE: MS. ANNA MARIE SULLIVAN RN

MEDICARE:  MS. ANNA MARIE SULLIVAN  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered NurseRN135446AZ

General Provider Information

NPI Number : 1275471161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNA MARIE SULLIVAN RN
Provider Business Mailing Address
First Line : 10640 E OAKBROOK ST
Second Line :
City : TUCSON
State : AZ
Zip : 85747-5970
Country : US
Telephone Number : 520-324-5600
Fax Number :
Provider Business Practice Location Address
First Line : 5301 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2874
Country : US
Telephone Number : 520-324-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ MS. ANNA MARIE SULLIVAN RN” Practice Location

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