Individual
MRS. TAYLOR NICHOLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 N FRANKLIN DR STE 1, WASHINGTON, PA 15301-5892
(724) 225-6500
Mailing address
125 N FRANKLIN DR STE 1, WASHINGTON, PA 15301-5892
(724) 225-6500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
02/19/2020
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