Individual
MS. SHAWN MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 884-8701
(517) 884-8787
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 353-4911
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
1997192
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
4704368871
MI
363LN0000X
Neonatal Nurse Practitioner
FL1997192
FL
Other
Enumeration date
04/14/2007
Last updated
06/21/2023
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