Individual
SANDRA K SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Mailing address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP 1525192
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1525192
FL
Other
Enumeration date
10/12/2006
Last updated
02/27/2018
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