Individual
ELIZABETH MARY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 8TH AVE N # 1, HOPKINS, MN 55343-7611
(952) 933-5085
Mailing address
15 8TH AVE N # 1, HOPKINS, MN 55343-7611
(952) 933-5085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5319
MN
Other
Enumeration date
05/19/2017
Last updated
05/06/2021
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