P Praxis·MD
● Active Type 1 · Individual

MRS. Deborah Lee Sullivan, ARNP

Nurse Practitioner·Caldwell, ID· NPI 1093950420 · Enumerated 2008 · 17 years on NPI
Sullivan is 1 of 1 nurse practitioner providers in Caldwell and 1 of 79 in Idaho.
NPI age
17 years
Enumerated 2008-12-15
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-03-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 79 active nurse practitioner providers in Idaho.

NPI age
17 years
↑ 10 yr above median (7 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
39% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-12Enumerated in NPPES
2008 2026

Where they practice

Practice location
211 E Logan St, Suite 105
Caldwell, ID 836054882
📞 2084540567fax 2084026635
Mailing address
3706 N Stone Creek Way
Boise, ID 837034745
📞 2085143217

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP891 taxonomy 363LP2300X

Practice context

Part of a multi-provider practice. 12 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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