Individual
ELIZABETH JEAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29 NESPELEM/SANPOIL ST, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2945
Mailing address
29 NESPELEM/SANPOIL ST, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2945
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100100
—
WA
Enumeration date
10/23/2006
Last updated
07/08/2007
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