Individual
MRS. DEBORAH HALL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1000 SANGER AVE, OCEANPORT, NJ 07757-1241
(917) 836-0122
Mailing address
75 MITCHELL PL, LITTLE SILVER, NJ 07739-1607
(917) 836-0122
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
26NR19834200
NJ
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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