Individual
PAIGE ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
400 W BENSON BLVD, ANCHORAGE, AK 99503-3829
(907) 729-5418
(907) 729-8607
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-6353
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
183298
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
858292
TX
Other
Enumeration date
05/23/2016
Last updated
11/02/2023
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