Individual
HEATHER M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2010 OLD WEST CHESTER PIKE, SUITE 330, HAVERTOWN, PA 19083-2712
(610) 789-8070
(610) 789-9937
Mailing address
2010 OLD WEST CHESTER PIKE SUITE 330, HAVERTOWN, PA 19083-2712
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN310436L
PA
Other
Enumeration date
10/10/2005
Last updated
11/10/2020
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