Individual
MRS. DANA CHRISTINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
750 NJ-73 STE 210, WILLOW RIDGE EXECUTIVE OFFICE OARK, EVESHAM, NJ 08053
(856) 399-1010
Mailing address
2 GREEN BRIAR LN, CINNAMINSON, NJ 08077-3876
(609) 351-0669
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01223300
NJ
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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