WANDA SULLIVAN, RN
Nurse Practitioner
Active
Individual
NPI: 1740360353
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | RN073140 (LA) |
Frequently Asked Questions
NPI 1740360353 is the National Provider Identifier for WANDA SULLIVAN, RN, a Nurse Practitioner provider located in Ruston, LA. This NPI was enumerated on October 17, 2006.
WANDA SULLIVAN, RN practices at 765 S BONNER ST, Ruston, LA 71270.
Quick Facts
- NPI
- 1740360353
- Type
- Individual
- Enumerated
- Oct 17, 2006
- Last Updated
- Feb 18, 2016
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