Individual
PATRICIA LOUISE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 744-5955
(732) 906-4967
Mailing address
716 FIRETHORN DR, UNION, NJ 07083-5075
(732) 744-5955
(732) 906-4967
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
10500500
NJ
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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