Individual
REBECCA A. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
532 WEST PITTSBURGH STREET, GREENSBURG, PA 15601
(724) 832-4036
Mailing address
1613 HARRISON PKWY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(800) 437-2672
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN513035L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
R204926
MD
367500000X
Certified Registered Nurse Anesthetist
RN513035L
PA
Other
Enumeration date
12/12/2006
Last updated
04/05/2013
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