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

Mariah Sullivan, RN

Individual provider General Practice Registered Nurse · NPI 1053252551

Mariah Sullivan, RN is a General Practice Registered Nurse in Glenfield, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

6537 Johnson Rd
Glenfield, NY 13343-4120
Phone: (315) 571-4016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1738 Thayer Hill Rd, Boonville, NY 13309-1807 — (315) 571-4016

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 577174 (NY)

Record details

NPI number1053252551
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedApril 1, 2026
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026