Individual
MAGDALENA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
105 W 8TH AVE STE 7010, SPOKANE, WA 99204-2312
(509) 353-3901
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-4114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61399830
WA
Other
Enumeration date
04/24/2019
Last updated
08/16/2026
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