Doctor Name: | MRS. MARY L. SULLIVAN-TANSEY |
NPI Number: | 1972642858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., M.F.T., PSY. D |
License Number: | 193750 |
Business Practice Address: | 12625 Hesperia Rd Suite 'f' Victorville, CA - 923957720 |
Business Phone Number: | 7609551777 |
Business Fax Number: | 7609552356 |
Mailing Address: | 12625 Hesperia Rd, Suite 'f' VICTORVILLE |
State: | CA |
Postal Code: | 923957720 |
Phone Number: | 9093374467 |
Fax Number: | 9093374467 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 193750 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |