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Individual
AMANDA MICHELLE SULLIVAN
Active
Individual
AMANDA MICHELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
3018470
KY
363LN0000X
Neonatal Nurse Practitioner
ARNP9353428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135006B
—
GA
05
—
008891500
—
FL
Enumeration date
05/24/2013
Last updated
11/18/2024
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