IndividualActive
Maureen Sullivan, CNM, WHNP
NPI 1427010057 · Advanced Practice Midwife · Fairbanks, AK
Provider details
- NPI number
- 1427010057
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM, WHNP
- Sex
- Female
- Sole proprietor
- No
- License
- F420761-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1919 Lathrop St
Suite 217
Fairbanks, AK 99701-5937
Phone: (907) 456-8191
Fax: (907) 456-8192
Approximate (ZIP-level) locationGet directions
Mailing address
1919 Lathrop St
Fairbanks, AK 99701-5942
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2016-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.