MS. LAURA SULLIVAN (NPI# 1912531062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912531062 |
| Entity Type | Individual |
| Full Name | MS. LAURA SULLIVAN |
| Credential | CRNP |
| Practice Address |
2465 Route 97 Ste 10 Glenwood MD 21738-9749 |
| Practice Telephone | 4104899550 |
| Practice Fax Number | 4104895527 |
| Mailing Telephone | 4104899550 |
| Mailing Fax Number | 4104895527 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R093585 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992292080 | Laura Anne Sullivan | Specialist | 5 Terrace Pl, Glen Cove, NY 11542-2427 | 2018-04-16 |
| 1164833232 | Laura Sullivan | Occupational Therapist | 30 Sheffield Rd, Wilton, NY 12831-1494 | 2014-05-12 |
| 1912337502 | Laura Sullivan | Physical Therapist | 1900 American Eagle Drive, Slinger, WI 53086-9043 | 2013-11-18 |
| 1558686063 | Laura Ann Sullivan | Social Worker | 60 Perseverance Way Fl 2, Hyannis, MA 02601-1843 | 2010-03-29 |
| 1649409632 | Laura Grace Sullivan | Dentist | 1949 Cr 210 W, Saint Johns, FL 32259-2062 | 2009-07-10 |
| 1083809818 | Laura E Sullivan | Pharmacist | 3303 Grand Oaks Ct, Pittsburg, KS 66762-8737 | 2007-09-14 |
| 1932266137 | Laura Sullivan | Marriage & Family Therapist | 18 S Indiana St, Mooresville, IN 46158-1648 | 2007-01-03 |
| 1902994841 | Laura Sullivan | Psychologist | Adult Admissions Unit, John Umstead Hospital, Butner, NC 27509 | 2006-10-10 |
| 1700892437 | Laura Sullivan | Internal Medicine | 7316 S. Settler Dr., Morrison, CO 80465 | 2006-08-01 |
| 1114904778 | Laura Marie Sullivan | Social Worker | 9 Carlito Rd, Santa Fe, NM 87508-8784 | 2005-12-26 |
| Street Address |
2465 ROUTE 97 STE 10 |
| City | GLENWOOD |
| State | MD |
| Zip Code | 21738-9749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053881615 | Kristi Joy Nester | Speech-Language Pathologist | 1460 Carrs Mill Road, Glenwood, MD 21738 | 2018-11-27 |
| 1598134728 | Hillary J Scott | Speech-Language Pathologist | 3750 A Shady Lane, Glenwood, MD 21738 | 2015-09-17 |
| 1962653188 | East Coast Anesthesia Inc. | Clinic/Center | 3231 Huntersworth Way, Glenwood, MD 21738 | 2008-10-07 |
| 1073723672 | Paul Gittings Ensor | Contractor | 14630 Burntwoods Rd, Glenwood, MD 21738-0130 | 2007-05-23 |
| 1366588428 | George Ho | Emergency Medicine | 3614 Broadleaf Ct, Glenwood, MD 21738-9330 | 2007-01-29 |
| 1003291493 | Edward Pecukonis | Social Worker | 3244 Danmark Dr, Glenwood, MD 21738-9415 | 2015-07-27 |
| 1306004411 | Amy F. Potler | Occupational Therapist | 3638 Sharp Rd, Glenwood, MD 21738-9505 | 2008-05-26 |
| 1972849107 | John Wesley Wisor | Psychologist | 3307 Saddle Horse Ct, Glenwood, MD 21738-9526 | 2012-12-16 |
| 1396272928 | Min S Kwon | Pharmacist | 14347 Musgrove Farm Ct, Glenwood, MD 21738-9535 | 2017-05-13 |
| 1326419953 | Megan Crenshaw | Speech-Language Pathologist | 3750a Shady Ln, Glenwood, MD 21738-9539 | 2015-10-08 |
| Find all providers in zip 21738 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.