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

Mary Sullivan

Individual provider Nurse Practitioner · NPI 1275627713

Mary Sullivan is a Nurse Practitioner in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

8001 Angling Rd
Portage, MI 49024
Phone: (269) 329-0944
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704209403 (MI)

Record details

NPI number1275627713
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJuly 8, 2007
Mailing address5943 Stadium Drive, Suite 3, Kalamazoo, MI 49009

Other providers in Portage