Whalio Doctors

NPI 1427010057

Maureen Sullivan, CNMWHNP

Practitioner Advanced Practice Midwife Fairbanks, AK

Practice location

Address
1919 Lathrop St Suite 217, Fairbanks, AK 99701-5937
Phone
(907) 456-8191
Fax
(907) 456-8192
Mailing address
1919 Lathrop St STE 222, Fairbanks, AK 99701-5942

Registered specialties (4)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 1085 (AK)
Women's Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X Licence F420761-1 (NY)
Advanced Practice Midwife
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence F001104-1 (NY)
Advanced Practice Midwife
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence APN36126 (MT)

Registry record

NPI
1427010057
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Apr 2006
Record last updated
11 Oct 2016

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.