Individual
COURTNEY ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
421 N 21ST AVE, HOLLYWOOD, FL 33020-4013
(305) 899-4722
Mailing address
2691 ALBATROSS RD N APT 203, DELRAY BEACH, FL 33444-2090
(708) 299-4794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041394745
IL
163W00000X
Registered Nurse
9579641
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
209030084
IL
Other
Enumeration date
02/27/2022
Last updated
08/12/2024
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