Individual
ARLENE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A01250
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U030
BCBS
—
01
—
71-0781138
MERCY
—
01
—
71-0781138028
TRICARE
—
01
—
742252
HEALTHLINK
—
01
—
7525325
CIGNA
—
Enumeration date
07/27/2006
Last updated
05/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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