MICHAEL SULLIVAN

RICHMOND, VA
NPI1740650167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024172854)
Enumeration Date2015-09-28
Last Update Date2015-09-28
Business Address
-- MICHAEL SULLIVAN PMHNP-BC
517 W GRACE ST
RICHMOND, VA 23220-4911
Phone number: 804-783-2505
Mailing Address
-- MICHAEL SULLIVAN PMHNP-BC
517 W GRACE ST
RICHMOND, VA 23220-4911
Phone number: 804-783-2505