Individual
ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1000
Mailing address
88 S BROADWAY UNIT 3308, MILLBRAE, CA 94030-3075
(646) 567-0105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95058338
CA
Other
Enumeration date
09/21/2020
Last updated
01/11/2023
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