LAURA A SULLIVAN

FORT RUCKER, AL
NPI1457358079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AL  1-093306)
Enumeration Date2005-06-29
Last Update Date2020-07-23
Business Address
LAURA A SULLIVAN CRNP
DEPT OF VET AFFAIRS WIREGRASS HBPC 301 ANDREWS AVENUE
FORT RUCKER, AL 36362
Phone number: 334-272-4670
Mailing Address
LAURA A SULLIVAN CRNP
102 STILL WATER DR
ENTERPRISE, AL 36330-8314
Phone number: 334-434-2417
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