Individual
MRS. HEATHER YVONNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
(518) 932-0516
Mailing address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
696821
NY
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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