Individual
MRS. CINDY M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-7848
(602) 406-9182
Mailing address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-7848
(602) 406-9182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
AP0283
AZ
163W00000X
Registered Nurse
Primary
RN067165
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0898468
AANP
—
01
—
P00601912
RAILROAD MEDICARE
NC
Enumeration date
08/17/2007
Last updated
09/23/2013
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