| Doctor Name: | SHANNON SULLIVAN |
| NPI Number: | 1336524180 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R189690 |
| Business Practice Address: | 22 S Greene St Baltimore, MD - 212011544 |
| Business Phone Number: | 4103283479 |
| Business Fax Number: | |
| Mailing Address: | 3006 Sunflower Dr, IJAMSVILLE |
| State: | MD |
| Postal Code: | 217548916 |
| Phone Number: | 3014713292 |
| Fax Number: | |
| NPI Enumeration Date: | 07/22/2015 |
| NPI Last Update Date: | 07/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282N00000X |
| License Number: | R189690 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |