Individual
REBECCA OYLER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 PEYTON WAY, STE 200, CHARLESTON, WV 25309-8767
(304) 720-8816
(904) 494-6467
Mailing address
PO BOX 3466, CHARLESTON, WV 25334-3466
(304) 346-9400
(304) 345-7320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35119
WV
Other
Enumeration date
07/13/2006
Last updated
10/21/2016
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