NPI 1568127124
Sandra Sullivan
Practice location
- Address
- 6700 W Overland Rd, Boise, ID 83709-2032
- Phone
- (208) 319-4587
- Fax
- (208) 377-3883
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1568127124
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Nov 2021
- Record last updated
- 8 Nov 2021
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.