Search › Arizona › 363A00000X
Aneesha Sullivan, PA-C
NPI 1619151610 · on the registry since 2007 · sole proprietor
Practice
- Address
- 11034 N 23rd Dr Ste 105b
Phoenix, AZ 85029 - Phone
- (602) 639-0189
- Fax
- (844) 955-2502
- Clinicians at this address
- 2
Additional practice sites
- 9169 W Van Buren St, Tolleson, AZ
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 385HR2055X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona