Individual
NANCY SUE SULLIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1210 PEARL ST, EUGENE, OR 97401-3573
(541) 984-4472
(541) 984-4472
Mailing address
1210 PEARL ST, EUGENE, OR 97401-3573
(541) 984-4472
(541) 984-4471
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000032848N6
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029736
—
OR
Enumeration date
08/17/2006
Last updated
07/08/2007
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