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Individual

SHEMIAH MESHAI SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
969 E 12TH ST STE D, LOS ANGELES, CA 90021-2201
(310) 800-1776
Mailing address
21213B HAWTHORNE BLVD # 1032, TORRANCE, CA 90503-5501
(310) 428-7638

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95007452
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95007452
CA
363LP2300X
Primary Care Nurse Practitioner
95007452
CA

Other

Enumeration date
09/19/2017
Last updated
04/21/2026
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