Individual
LYNN THUY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 907-2887
Mailing address
1527 MARYLAND AVE, COVINGTON, KY 41014-1333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023501
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2017
Last updated
11/30/2018
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