| NPI | 1861923898 |
|---|---|
| Other Name | ANGELA MARIE SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23369) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-12-06 |