Individual
MRS. EMILY S SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2800 EISENHOWER AVE STE 220, ALEXANDRIA, VA 22314-4587
(888) 803-3337
Mailing address
9700 N 91ST ST STE A115, SCOTTSDALE, AZ 85258-5036
(888) 803-3370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002695
VA
363A00000X
Physician Assistant
103770
AZ
363A00000X
Physician Assistant
64515
CA
363A00000X
Physician Assistant
Primary
PENDING
VA
Other
Enumeration date
10/27/2007
Last updated
02/04/2025
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