Individual
BETH CARRIERE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1525 DICKORY AVE, NEW ORLEANS, LA 70123-2168
(504) 818-0006
(504) 818-0095
Mailing address
1330 CARROLLTON AVE, METAIRIE, LA 70005-1861
(504) 834-1884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05897
LA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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