Susan J Sullivan
Individual provider Active NPI Technician/Technologist · Beatrice, NE
NPI 1376355685 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1376355685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician/Technologist 156F00000X
- Practice address
- 1414 Paddock LN
Beatrice, NE 68310-2105 - Phone
- (402) 239-6487
- NPI assigned
- Jan 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | Yes |
Addresses
Primary practice location
1414 Paddock LN
Beatrice, NE 68310-2105
Mailing address
1414 Paddock LN
Beatrice, NE 68310-2105
Phone (402) 239-6487
Other providers in Beatrice, NE
- Gordon C Stelting
- Nicole Stewart
- Kristine Stout
- Crystal Anne Strickland
- Brett A Studley
- Gail R Sutter
- Jaimie Jill Sutter
- Virginia D Swartz
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
All providers in Beatrice, NE · Technician/Technologist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.