Individual
MS. HEATHER B SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1465 W CHANDLER BLVD BLDG A, CHANDLER, AZ 85224-6237
(480) 786-8200
(480) 857-3005
Mailing address
2700 N CENTRAL AVE STE 1050, PHOENIX, AZ 85004-1217
(602) 376-3353
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4756
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
572703
—
AZ
Enumeration date
11/19/2010
Last updated
08/18/2025
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