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

Johanna Sullivan, PA

Individual provider Surgical Physician Assistant · NPI 1952036394

Johanna Sullivan, PA is a Surgical Physician Assistant in North Haven, Connecticut. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

370 Bassett Rd
North Haven, CT 06473-4201
Phone: (917) 435-0238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1952036394
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023

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