Individual
ELIZABETH A. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
16268 BENNETT ROAD, UVA PRIMARY CARE - LOCUST GROVE, CULPEPER, VA 22701
(540) 825-6263
(540) 825-4911
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002337
CT
363LF0000X
Family Nurse Practitioner
Primary
0024171597
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790773737
—
VA
Enumeration date
08/31/2006
Last updated
03/13/2018
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