Individual
CLARE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 UNIVERSITY DR, VIRGINIA BEACH, VA 23453-8083
(970) 376-8118
Mailing address
1881 UNIVERSITY DR, VIRGINIA BEACH, VA 23453-8083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024193579
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2023
Last updated
07/11/2025
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