NPI 1083880181
Judith Eileen Sullivan, ANP
Practice location
- Address
- 223 W State St, Boise, ID 83702-6013
- Phone
- (208) 343-0436
- Mailing address
- 43 Golden Eagle Dr, Boise, ID 83716-3217
Registered specialties
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1083880181
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 May 2008
- Record last updated
- 8 May 2008
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.