JUDITH EILEEN SULLIVAN

BOISE, ID
NPI1083880181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health
(Licence: ID  CNS36A)
Enumeration Date2008-05-08
Last Update Date2008-05-08
Business Address
JUDITH EILEEN SULLIVAN ANP
223 W STATE ST
BOISE, ID 83702-6013
Phone number: 208-343-0436
Mailing Address
JUDITH EILEEN SULLIVAN ANP
43 GOLDEN EAGLE DR
BOISE, ID 83716-3217
Phone number: 208-343-0436