Individual
BRIAN DANIEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
397 HEMLOCK DR, LEHIGHTON, PA 18235-9712
(570) 386-5522
Mailing address
397 HEMLOCK DR, LEHIGHTON, PA 18235-9712
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN644439
PA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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