Individual
MRS. EMILY ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA DNP
Contact information
Practice address
5030 BRUNSON DR, CORAL GABLES, FL 33146-2412
(305) 284-3666
Mailing address
896 OAK DR, MARION, OH 43302-8468
(740) 341-2655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.438474
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
4704410275
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/11/2023
Last updated
03/26/2024
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