Individual
MS. CHRISTINE ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP, PHD, MSN
Contact information
Practice address
34800 BOB WILSON DR, BLDG 6 5TH FLOOR CREDENTIALING, SAN DIEGO, CA 92134-5000
(619) 532-6471
Mailing address
34800 BOB WILSON DR, BLDG 6 5TH FLOOR CREDENTIALING, SAN DIEGO, CA 92134-5000
(619) 532-6471
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
393917
CA
363LF0000X
Family Nurse Practitioner
Primary
13187
CA
367A00000X
Advanced Practice Midwife
548
CA
Other
Enumeration date
08/17/2005
Last updated
03/10/2015
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