| NPI | 1487422572 |
|---|---|
| Other Name | COURTNEY PAIGE SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 217542) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |