Individual
MS. RENEE R SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
600 E FRANCIS ST, SUITE 3, NORTH PLATTE, NE 69101-6796
(308) 532-6906
(308) 532-6964
Mailing address
600 E FRANCIS ST, SUITE 3, NORTH PLATTE, NE 69101-6796
(308) 532-6906
(308) 532-6964
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
110695
NE
Other
Enumeration date
07/03/2006
Last updated
09/04/2014
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