Individual
HELEN RUTH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9201 E MOUNTAIN VIEW RD STE 220, SCOTTSDALE, AZ 85258-5172
(413) 478-6534
Mailing address
884 EAST ST S, SUFFIELD, CT 06078-2404
(413) 478-6534
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7575
CT
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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