Individual
MRS. CATHERINE B SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3821 FORRESTGATE DR, WINSTON SALEM, NC 27103-2930
(336) 448-9100
(336) 778-7995
Mailing address
3821 FORRESTGATE DR, WINSTON SALEM, NC 27103-2930
(336) 448-9100
(336) 778-7995
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5015778
NC
Other
Enumeration date
10/08/2020
Last updated
02/14/2022
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