Provider Demographics
NPI:1558953109
Name:SULLINS, ALISON (APRN)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:SULLINS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 MARIE ST
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:CO
Mailing Address - Zip Code:81432
Mailing Address - Country:US
Mailing Address - Phone:602-980-1974
Mailing Address - Fax:
Practice Address - Street 1:1404 HAWK PKWY UNIT 201
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-6470
Practice Address - Country:US
Practice Address - Phone:602-980-1974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-05
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996246-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CORXN.0105348-NPOtherCOLORADO BOARD OF NURSING
CORN.1671793OtherCOLORADO BOARD OF NURSING
COAPN.0996246-NPOtherCOLORADO BOARD OF NURSING