P Praxis·MD
● Active Type 1 · Individual

Judith Eileen Sullivan, ANP

Clinical Nurse Specialist·Boise, ID· NPI 1083880181 · Enumerated 2008 · 18 years on NPI
Sullivan is 1 of 4 clinical nurse specialist providers in Boise and 1 of 16 in Idaho.
NPI age
18 years
Enumerated 2008-05-08
Primary specialty
Clinical Nurse Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-05-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 16 active clinical nurse specialist providers in Idaho.

NPI age
18 years
≈ at median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
62% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
223 W State St
Boise, ID 837026013
📞 2083430436
Mailing address
43 Golden Eagle Dr
Boise, ID 837163217
📞 2083430436

Specialties

  • Clinical Nurse Specialist Primary
    Definition to come...
    ID license #CNS36A taxonomy 364SP0808X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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