Individual
DEVIN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8300
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704316057
MI
363LF0000X
Family Nurse Practitioner
4704316057
MI
Other
Enumeration date
09/11/2023
Last updated
07/01/2025
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