Individual
YOLANDA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0790
(386) 274-0800
Mailing address
PO BOX 9190, DAYTONA BEACH, FL 32120-9190
(386) 274-0790
(386) 274-0800
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN 9210016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 9210016
FL RN LICENSE NUMBER
FL
Enumeration date
01/31/2007
Last updated
07/08/2007
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