MRS. AMANDA SULLIVAN, L.P.N,

Licensed Practical Nurse

Active Individual
NPI: 1407121221

Practice Address

610 N MAIN ST
Fall River, WI 53932

Phone: (920) 382-5666

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 304840-31 (WI)

Frequently Asked Questions

NPI 1407121221 is the National Provider Identifier for MRS. AMANDA SULLIVAN, L.P.N,, a Licensed Practical Nurse provider located in Fall River, WI. This NPI was enumerated on March 12, 2012.
MRS. AMANDA SULLIVAN, L.P.N, practices at 610 N MAIN ST, Fall River, WI 53932.

Quick Facts

NPI
1407121221
Type
Individual
Enumerated
Mar 12, 2012
Last Updated
Mar 13, 2012

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