Individual
NANCY J SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1323 W PRINCE RD, TUCSON, AZ 85705-3114
(520) 887-0800
(520) 887-1393
Mailing address
7885 N ORACLE RD, ORO VALLEY, AZ 85704-6348
(520) 232-5280
(520) 232-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN135312
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3540
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499768
—
AZ
Enumeration date
02/26/2010
Last updated
03/11/2016
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