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Individual

MRS. CINDY LONG SULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
50 E CANFIELD ST STE 101-S, DETROIT, MI 48201-1804
(313) 577-9827
(313) 221-9864
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 448-9006

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024173458
VA
363L00000X
Nurse Practitioner
Primary
4704380244
MI
363LF0000X
Family Nurse Practitioner
AP 60624672
WA

Other

Enumeration date
02/05/2016
Last updated
07/07/2023
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