Individual
MRS. SUSANNA LYNN O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, ANP-BC
Contact information
Practice address
36101 BOB HOPE DR STE 120, RANCHO MIRAGE, CA 92270-2001
(760) 548-3044
Mailing address
36101 BOB HOPE DR STE 120, RANCHO MIRAGE, CA 92270-2001
(248) 606-7854
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95008533
CA
Other
Enumeration date
08/13/2009
Last updated
04/10/2025
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