Individual
PATRICIA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4400 N 32ND ST STE 220, PHOENIX, AZ 85018-3965
(602) 956-1250
(602) 956-7466
Mailing address
1010 E MCDOWELL RD STE 206, PHOENIX, AZ 85006-2608
(602) 956-1250
(602) 956-7466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4531
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4531
PA LIC
AZ
05
—
483070
—
AZ
Enumeration date
11/17/2009
Last updated
03/24/2026
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