Individual
MS. JULIA ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
726 BROADWAY FL 4, NEW YORK, NY 10003-9616
(212) 443-1166
Mailing address
26 BLEECKER ST, NEW YORK, NY 10012-2413
(212) 965-7000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421054
NY
363LW0102X
Women's Health Nurse Practitioner
F421054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03385646
—
NY
Enumeration date
10/20/2011
Last updated
03/04/2024
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