Individual
NINA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7240 COURTLAND FARM RD, HANOVER, VA 23069-1564
(804) 365-6400
Mailing address
8072 PEBBLEPATH PKWY, MECHANICSVILLE, VA 23111-7500
(804) 245-2543
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177556
VA
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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