Individual
MR. SHONDRA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
580 OLD SANFORD OVIEDO RD, WINTER SPRINGS, FL 32708-2637
(407) 215-0095
Mailing address
580 OLD SANFORD OVIEDO RD, WINTER SPRINGS, FL 32708-2637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9492951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9492951
BOARD OF NURSING
FL
Enumeration date
06/12/2019
Last updated
06/12/2019
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