MRS. Martha J Sullivan, CNP CERTIFIED NURSE

NPI #1932212800 in Rockford, Illinois

Provider Information

NPI Number: 1932212800
Entity Type: Individual
Name: MRS. Martha J Sullivan, CNP CERTIFIED NURSE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: CNP CERTIFIED NURSE
Enumeration Date: Aug 16, 2006
Last Updated: Jan 29, 2014

Practice Location

Address: 2300 N ROCKTON AVE
Address 2: ROCKFORD HEALTH PHYSICIANS
City: Rockford
State: Illinois
ZIP Code: 61103-3619
Phone: (815) 971-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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