Individual
MRS. MEGAN SONJA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
660 S 200 E STE 250, SALT LAKE CITY, UT 84111-3846
(801) 359-2256
Mailing address
11241 S SANDCREST CIR, SANDY, UT 84094-7014
(503) 758-2780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7650547-4409
UT
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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