| Mrs Viki Catherine Sullivan, FNP | |
|
2575 E Bidwell St, Suite 100, Folsom, CA 95630-6444 | |
| (916) 817-3700 | |
| (916) 817-3701 |
| Full Name | Mrs Viki Catherine Sullivan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2575 E Bidwell St, Folsom, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285735829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN516187-12968 (California) | Primary |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Viki Catherine Sullivan, FNP 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Mrs Viki Catherine Sullivan, FNP 2575 E Bidwell St, Suite 100, Folsom, CA 95630-6444 Ph: (916) 817-3700 |
Alaina Rae Niebuhr, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1580 Creekside Dr Ste 250, Folsom, CA 95630 Phone: 916-983-8695 | |
Sally Kei Mason, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Plaza Dr Ste 170, Folsom, CA 95630 Phone: 916-351-9400 | |
Annika Elizabeth Dethlefs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630 Phone: 916-983-8868 | |
Miss Jennifer N Okechukwu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Plaza Dr Ste 170, Folsom, CA 95630 Phone: 916-351-9400 | |
Mrs. Josephine P Williams, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Lowney Ct, Folsom, CA 95630 Phone: 916-984-3792 | |
Mrs. Harrieth Amaka Madu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Plaza Dr Ste 170, Folsom, CA 95630 Phone: 916-351-9400 Fax: 916-351-9449 | |
Li Kelly, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 306 Flower Dr, Folsom, CA 95630 Phone: 916-205-5055 Fax: 916-205-5055 |