Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David Yutaka Sullivan, FNP

Individual provider Ambulatory Care Registered Nurse · NPI 1962751545

David Yutaka Sullivan, FNP is a Nurse Practitioner in Winslow, Arizona. Qualified in 2019, 7 years ago. Practices with Winslow Indian Health Care Center Inc, a 100-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2012
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

500 Indiana Ave
Winslow, AZ 86047-2169
Phone: (928) 289-6230
Fax: (928) 289-6229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 224965 (AZ)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence RN174273 (AZ)

Record details

NPI number1962751545
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESApril 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Winslow Indian Health Care Center Inc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Winslow