Amanda Sullivan, L.P.N.

NPI #1912291436 in Liberty, New York

Provider Information

NPI Number
1912291436
Entity Type
Individual
Name
Amanda Sullivan, L.P.N.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
L.P.N.
Enumeration Date
Jun 1, 2011
Last Updated
Jun 1, 2011

Practice Location

Address
364 LAKE MARIE RD
ZIP Code
12754-2924
Phone
(845) 866-1667

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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