Individual
PATRICIA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3 COOPER PLZ RM 116, CAMDEN, NJ 08103
(856) 342-3149
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00630100
NJ
363LF0000X
Family Nurse Practitioner
SP012772
PA
Other
Enumeration date
01/24/2013
Last updated
11/18/2021
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