Individual
LINDA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
210 GOVERNMENT ST, MOBILE, AL 36602-2614
(251) 433-8448
(251) 460-5431
Mailing address
3632 DAUPHIN ST, MOBILE, AL 36608-1247
(251) 460-5280
(251) 460-5339
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1024547
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009914210
—
AL
01
—
051506120
BLUE CROSS
AL
01
—
51108245
BLUE CROSS
AL
Enumeration date
03/29/2007
Last updated
02/09/2011
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