Alyse Marie Sullivan, NP - Clinical Nurse Specialist in Antioch, TN

Alyse Marie Sullivan, NP is a Clinical Nurse Specialist - Women's Health based in Antioch, Tennessee. Alyse Marie Sullivan is licensed to practice in North Carolina (license number SULL-MEKDS) and her current practice location is 950 Brittany Park Dr Apt 423, Antioch, Tennessee. She can be reached at her office (for appointments etc.) via phone at (530) 848-2648.

NPI number for Alyse Marie Sullivan is 1811777105 and her current mailing address is 950 Brittany Park Dr Apt 423, Antioch, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811777105.

Contact Information

Alyse Marie Sullivan, NP
950 Brittany Park Dr Apt 423,
Antioch, TN 37013-5065
(530) 848-2648
Not Available



Provider's Profile

Full NameAlyse Marie Sullivan
GenderFemale
SpecialityClinical Nurse Specialist - Women's Health
Location950 Brittany Park Dr Apt 423, Antioch, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811777105
  • Provider Enumeration Date: 10/03/2023
  • Last Update Date: 10/03/2023

Medical Identifiers

Medical identifiers for Alyse Marie Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811777105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SW0102XClinical Nurse Specialist - Women's Health SULL-MEKDS (North Carolina)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. Alyse Marie 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
Alyse Marie Sullivan, NP
950 Brittany Park Dr Apt 423,
Antioch, TN 37013-5065

Ph: (530) 848-2648
Alyse Marie Sullivan, NP
950 Brittany Park Dr Apt 423,
Antioch, TN 37013-5065

Ph: (530) 848-2648

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› Verified 4 days ago


Clinical Nurse Specialist Nurses in Antioch, TN


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