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Individual

BRITTANY P SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8383 N DAVIS HWY, PENSACOLA, FL 32514-6039
(850) 494-3212
Mailing address
3347 FRIDINGER DR, PENSACOLA, FL 32526-9320
(601) 397-9929

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
895317
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
11001120
FL
367500000X
Certified Registered Nurse Anesthetist
901550
MS

Other

Enumeration date
11/01/2018
Last updated
10/02/2020
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