CASSIE SULLIVAN
Nurse Practitioner - Family
Active
Individual
NPI: 1396110821
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | No | 6726-33 (WI) |
| Nurse Practitioner - Family | 363LF0000X | Yes | 6726-33 (WI) |
Frequently Asked Questions
NPI 1396110821 is the National Provider Identifier for CASSIE SULLIVAN, a Nurse Practitioner - Family provider located in Tomah, WI. This NPI was enumerated on December 9, 2015.
CASSIE SULLIVAN practices at 501 GOPHER DR, Tomah, WI 54660.
Quick Facts
- NPI
- 1396110821
- Type
- Individual
- Enumerated
- Dec 9, 2015
- Last Updated
- Jan 14, 2021
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