NPI 1003967407

Sandra Jean Sullivan, PA

Practitioner Medical Physician Assistant North Conway, NH

Practice location

Address: 1976 White Mountain Hwy STE 105, North Conway, NH 03860-5147
Phone: (603) 356-4940

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 3056 (NH)

Other Physician Assistant providers in New Hampshire →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3056 (NH)

Registry record

NPI: 1003967407
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2007
Record last updated: 8 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.