Alyse Marie Sullivan, NP is a
Clinical Nurse Specialist - Women's Health based in Antioch, Tennessee. Alyse Marie Sullivan is licensed to practice in North Carolina (license number SULL-MEKDS) and her current practice location is
950 Brittany Park Dr Apt 423, Antioch, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(530) 848-2648.
NPI number for Alyse Marie Sullivan is 1811777105 and her current mailing address is 950 Brittany Park Dr Apt 423, Antioch, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811777105.
Provider's Profile
| Full Name | Alyse Marie Sullivan |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Women's Health |
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| Location | 950 Brittany Park Dr Apt 423, Antioch, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811777105
- Provider Enumeration Date: 10/03/2023
- Last Update Date: 10/03/2023
Medical Identifiers
Medical identifiers for Alyse Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811777105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SW0102X | Clinical Nurse Specialist - Women's Health | SULL-MEKDS (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyse Marie Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alyse Marie Sullivan, NP
950 Brittany Park Dr Apt 423,
Antioch, TN 37013-5065
Ph: (530) 848-2648 | Alyse Marie Sullivan, NP
950 Brittany Park Dr Apt 423,
Antioch, TN 37013-5065
Ph: (530) 848-2648 |
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