Individual
JANICE L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6717 E 2ND ST, PRESCOTT VALLEY, AZ 86314-2659
(928) 771-3560
Mailing address
13925 N WARBONNET LN, PRESCOTT, AZ 86305-1590
(928) 771-3560
(928) 771-3542
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN080551
AZ
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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