MRS. Amanda Marie Sullivan, L.P.N,
NPI #1407121221 in Fall River, Wisconsin
Provider Information
- NPI Number
- 1407121221
- Entity Type
- Individual
- Name
- MRS. Amanda Marie Sullivan, L.P.N,
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- L.P.N,
- Enumeration Date
- Mar 12, 2012
- Last Updated
- Mar 13, 2012
Practice Location
- Address
- 610 N MAIN ST
- City
- Fall River
- State
- Wisconsin
- ZIP Code
- 53932-9570
- Phone
- (920) 382-5666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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