Individual
RENEE O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
300 W CLARENDON AVE, 375, PHOENIX, AZ 85013-3420
(602) 277-4161
(602) 274-3394
Mailing address
300 W CLARENDON AVE, 375, PHOENIX, AZ 85013-3420
(602) 277-4161
(602) 274-3394
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
82242
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483892
—
AZ
Enumeration date
07/14/2006
Last updated
04/25/2012
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