Mrs Annata Rae Sullivan, RN, APRN - Nurse Practitioner in Dyess, Afb, TX

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Mrs Annata Rae Sullivan, RN, APRN is a Nurse Practitioner - Family based in Dyess, Afb, Texas. Mrs Annata Rae Sullivan is licensed to practice in Nebraska (license number 110470) and her current practice location is 697 Louisiana Dr., Dyess, Afb, Texas. She can be reached at her office (for appointments etc.) via phone at (325) 696-3543.

NPI number for Mrs Annata Rae Sullivan is 1215904438 and her current mailing address is 2917 Stonecrest Dr, Abilene, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215904438.

Contact Information

Mrs Annata Rae Sullivan, RN, APRN
697 Louisiana Dr.,
Dyess, Afb, TX 79607-4425
(325) 696-3543
Not Available

Map and Direction




Provider's Profile

Full NameMrs Annata Rae Sullivan
GenderFemale
SpecialityNurse Practitioner - Family
Location697 Louisiana Dr., Dyess, Afb, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215904438
  • Provider Enumeration Date: 03/07/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Annata Rae Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215904438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 110470 (Nebraska)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. Mrs Annata Rae 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 AddressPractice Location Address
Mrs Annata Rae Sullivan, RN, APRN
2917 Stonecrest Dr,
Abilene, TX 79606-3453

Ph: (325) 691-5232		Mrs Annata Rae Sullivan, RN, APRN
697 Louisiana Dr.,
Dyess, Afb, TX 79607-4425

Ph: (325) 696-3543

Reviews and Comments


Nurse Practitioner Nurses in Dyess, Afb, TX


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