Individual
MICHAEL DARIS SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
Mailing address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20059
SC
363LF0000X
Family Nurse Practitioner
Primary
5017901
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679935514
—
NC
05
—
NP4364
—
SC
Enumeration date
03/21/2016
Last updated
02/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us