Individual
WHITNEY G SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5231 BRITTANY DR, BATON ROUGE, LA 70808-9100
(225) 769-0933
Mailing address
5231 BRITTANY DR, BATON ROUGE, LA 70808-9100
(225) 769-0933
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP10030
LA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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