Individual
JILL ANN SULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-3206
(520) 694-0111
Mailing address
12320 PINE OAK DR, DICKINSON, TX 77539-8234
(512) 777-9368
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
316660
AZ
367500000X
Certified Registered Nurse Anesthetist
768178
TX
367500000X
Certified Registered Nurse Anesthetist
9529
CT
367500000X
Certified Registered Nurse Anesthetist
C-APN.0000425-C-CRNA
CO
Other
Enumeration date
06/02/2009
Last updated
07/17/2025
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