Individual
WINDI CALVERT SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1417 MOSS ST STE A, LAFAYETTE, LA 70501-3610
(337) 291-2411
(337) 291-2412
Mailing address
108 KEMPTON DR, LAFAYETTE, LA 70508-6547
(409) 457-3825
(337) 291-2412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226179
LA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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