Individual
SANDRA N SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 999-8506
(612) 725-1311
Mailing address
11336 RALEIGH DR, OMAHA, NE 68164-2257
(402) 999-8506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22219
NE
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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