Individual
CHRISTINE THIBODEAUX SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2004 W ALSEA LOOP, POST FALLS, ID 83854-7920
(714) 274-5649
Mailing address
2004 W ALSEA LOOP, POST FALLS, ID 83854-7920
(714) 274-5649
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57907
ID
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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