Individual
MR. STEPHEN D SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4100
Mailing address
814 EASTSIDE ST NE # BE, OLYMPIA, WA 98506-4032
(360) 319-6359
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN60082129
WA
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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