Individual
SARAH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
DUMC 3677, DURHAM, NC 27710-0001
(919) 681-5767
Mailing address
7752 SILVER VIEW LN, RALEIGH, NC 27613-1455
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5004536
NC
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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