Geralyn M Sullivan
Nurse Practitioner - Adult Health
401 Kings Hwy S Building 5
Cherry Hill
, New Jersey 08034-2500
Geralyn M Sullivan
Nurse Practitioner - Adult Health
401 Kings Hwy S Building 5
Cherry Hill
, New Jersey 08034-2500
(609) 602-7091
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Geralyn M Sullivan
- 121 Manheim Ave
- Oaklyn, NJ
- Zip : 08107-1437
- Phone : (609) 602-7091
Second Address
- Geralyn M Sullivan
- 401 Kings Hwy S Building 5
- Cherry Hill, NJ
- Zip : 08034-2500
- Fax : (856) 428-9614
- Phone : (856) 428-8992
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00294700 | NJ |
National Provider Identifier
| NPI | 1013221050 |
|---|---|
| Provider Name | Geralyn M Sullivan |
| First Address | Oaklyn, NJ 08107-1437 |
| Second Address | Cherry Hill, NJ 08034-2500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2010 |
| Last Update Date | 31/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 26NJ00294700 | DIVISION OF CONSUMER AFFAIRS (01) | NJ |
| 26NO11108000 | DIVISION OF CONSUMER AFFAIRS (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.