Individual
MEGHAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1505 E BRECKINRIDGE ST, LOUISVILLE, KY 40204-1709
(781) 686-3743
Mailing address
1505 E BRECKINRIDGE ST, LOUISVILLE, KY 40204-1709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025039163
KY
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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