Individual
LAUREN MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
571 TREVINO RDG, CRESTVIEW HILLS, KY 41017-3486
(859) 412-6904
Mailing address
571 TREVINO RDG, CRESTVIEW HILLS, KY 41017-3486
(859) 412-6904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0002351
CO
363LF0000X
Family Nurse Practitioner
025658
OH
363LF0000X
Family Nurse Practitioner
3009575
KY
Other
Enumeration date
07/27/2015
Last updated
05/09/2024
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