Individual
MRS. NAOMI LEIGH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
300 HEALTH PARK BLVD STE 3002, ST AUGUSTINE, FL 32086-3703
(904) 819-1500
(904) 810-1023
Mailing address
300 HEALTH PARK BLVD STE 3002, ST AUGUSTINE, FL 32086-3703
(904) 819-1500
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0024172420
VA
367A00000X
Advanced Practice Midwife
Primary
1487050621
FL
367A00000X
Advanced Practice Midwife
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016981400
—
FL
Enumeration date
11/17/2014
Last updated
10/03/2023
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