Individual
EMILY R SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1033 LOS PALOS DR STE A, SALINAS, CA 93901-3916
(831) 757-2058
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 242-8394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9108280
STATE LICENSE
FL
Enumeration date
11/13/2014
Last updated
08/16/2024
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