Individual
RACHEL MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6000
Mailing address
347 SMITH AVE N, SUITE 302, SAINT PAUL, MN 55102-2387
(651) 220-6450
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R157587-7
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
20091488
MN
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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