Individual
HANA WON SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
240 S HAMILTON ST STE 201, PAINTED POST, NY 14870-9791
(607) 542-9507
(701) 248-1616
Mailing address
240 S HAMILTON ST STE 201, PAINTED POST, NY 14870-9791
(607) 542-9507
(701) 248-1616
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310339
NY
Other
Enumeration date
09/27/2021
Last updated
09/04/2025
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