Individual
RACHELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN- FNP-BC
Contact information
Practice address
3301 E 3100 S, ST GEORGE, UT 84790-1385
(435) 680-1154
Mailing address
3301 E 3100 S, ST GEORGE, UT 84790-1385
(435) 680-1154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
828362
NV
Other
Enumeration date
01/27/2020
Last updated
10/01/2020
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