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Individual
MRS. ROSALIE M SULLIVAN
Active
Individual
MRS. ROSALIE M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
221622
TX
363LF0000X
Family Nurse Practitioner
Primary
221622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042GW
BC BS
TX
Enumeration date
02/13/2006
Last updated
03/07/2023
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