Individual
ASHLEY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 S ELM ST, COLVILLE, WA 99114-2834
(509) 684-3584
Mailing address
528 HIGHLAND LOOP RD, KETTLE FALLS, WA 99141-9709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60725343
WA
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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