Individual
MS. SHARON A SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC-OB, IBCLC
Contact information
Practice address
17307 SNEE OOSH RD, LA CONNER, WA 98257-9112
(907) 738-4507
Mailing address
17307 SNEE OOSH RD, LA CONNER, WA 98257-9112
(907) 738-4507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26022
AK
163W00000X
Registered Nurse
60926340
WA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11169652
VA
163WX0003X
Inpatient Obstetric Registered Nurse
104338339
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11169652
IBCLC - INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT
VA
01
—
26022
RN LICENSE
AK
01
—
60926340
RN LICENSE
WA
Enumeration date
07/29/2007
Last updated
02/10/2022
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