Individual
MRS. DARRIAN RENEE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5825 BROADWAY, MERRILLVILLE, IN 46410-2687
(219) 689-3199
Mailing address
197 W 76TH AVE, MERRILLVILLE, IN 46410-4728
(219) 689-3199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28204072A
IN
Other
Enumeration date
02/29/2020
Last updated
02/29/2020
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