Individual
RENEE MICHELLE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1506 W 46TH AVE, KENNEWICK, WA 99337-3935
(509) 586-4880
Mailing address
1506 W 46TH AVE, KENNEWICK, WA 99337-3935
(509) 586-4880
Taxonomy
Speciality
Code
Description
License number
State
364SP2800X
Perioperative Clinical Nurse Specialist
Primary
RN60069253
WA
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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