Individual
HEATHER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10705 MILWAUKEE AVE, LUBBOCK, TX 79424-6153
(806) 701-5210
(806) 701-5211
Mailing address
2804 N LOOP 289, LUBBOCK, TX 79415-1410
(806) 744-7223
(806) 740-3325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP128821
TX
Other
Enumeration date
10/21/2015
Last updated
03/01/2023
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