| Paul B Sullivan, CRNA | |
|
1200 W Fairview St, Colfax, WA 99111-9552 | |
| (509) 926-1770 | |
| (509) 228-9542 |
| Full Name | Paul B Sullivan |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1200 W Fairview St, Colfax, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023128451 | NPI | - | NPPES |
| 9617499 | Medicaid | WA | |
| 912153623 | Other | WA | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30005473 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Paul B Sullivan, CRNA 21980 E Country Vista Dr, Ste 200, Liberty Lake, WA 99019-6025 Ph: (509) 926-1770 | Paul B Sullivan, CRNA 1200 W Fairview St, Colfax, WA 99111-9552 Ph: (509) 926-1770 |
Bob M Mcginity, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 W Fairview St, Colfax, WA 99111 Phone: 509-397-3435 |
Lindsey Crystal Mccready, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 W Fairview St, Colfax, WA 99111 Phone: 509-397-3435 |