Individual
LAURA MICHELE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 213-1740
(828) 213-1742
Mailing address
143 STATE ST, ASHEVILLE, NC 28806-3341
(828) 213-1740
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010250
NC
363LN0000X
Neonatal Nurse Practitioner
5010250
NC
363LN0000X
Neonatal Nurse Practitioner
99797
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467847871
—
NC
Enumeration date
04/02/2015
Last updated
05/11/2018
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