Individual
NONIE VERONICA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3283 WILLOWCREEK RD, PORTAGE, IN 46368-5054
(219) 764-8439
(219) 764-8463
Mailing address
33 SHORE DR, OGDEN DUNES, IN 46368-1008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007092A
IN
363LF0000X
Family Nurse Practitioner
ARNP3177662
FL
Other
Enumeration date
08/25/2011
Last updated
01/18/2024
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