IndividualActive
Judith Sullivan, ANP
NPI 1083880181 · Psychiatric/Mental Health Clinical Nurse Specialist · Boise, ID
Provider details
- NPI number
- 1083880181
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- License
- CNS36A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
223 W State St
Boise, ID 83702-6013
Phone: (208) 343-0436
Approximate (ZIP-level) locationGet directions
Mailing address
43 Golden Eagle Dr
Boise, ID 83716-3217
Registry dates
- Enumerated
- 2008-05-08
- Last updated
- 2008-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.