Patricia Sullivan, RN - Registered Nurse in Santa Cruz, CA

Patricia Sullivan, RN is a Registered Nurse - General Practice based in Santa Cruz, California. Patricia Sullivan is licensed to practice in California (license number RN 655241) and her current practice location is 1400 Emeline Ave, Santa Cruz, California. She can be reached at her office (for appointments etc.) via phone at (831) 454-4170.

NPI number for Patricia Sullivan is 1043698459 and her current mailing address is 1400 Emeline Ave, Santa Cruz, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043698459.

Contact Information

Patricia Sullivan, RN
1400 Emeline Ave,
Santa Cruz, CA 95060-1976
(831) 454-4170
(831) 454-4663

Map and Direction




Provider's Profile

Full NamePatricia Sullivan
GenderFemale
SpecialityRegistered Nurse - General Practice
Location1400 Emeline Ave, Santa Cruz, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043698459
  • Provider Enumeration Date: 05/18/2015
  • Last Update Date: 05/18/2015

Medical Identifiers

Medical identifiers for Patricia Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043698459NPI-NPPES
ZZZ91891ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP PTAN#
ZZZ91892ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP PTAN#
ZZZ92069ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP PTAN#
FHC70044FOtherCASANTA CRUZ COUNTY MEDI-CAL SITE PROVIDER#
RN 655241OtherCAREGISTERED NURSE LICENSE#
FHC70042FOtherCASANTA CRUZ COUNTY MEDI-CAL SITE PROVIDER#

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice RN 655241 (California)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. Patricia 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
Patricia Sullivan, RN
1400 Emeline Ave,
Santa Cruz, CA 95060-1976

Ph: (831) 454-4170
Patricia Sullivan, RN
1400 Emeline Ave,
Santa Cruz, CA 95060-1976

Ph: (831) 454-4170

Reviews and Comments


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