Individual
MS. RACHEL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6239 E BROWN RD, STE 112, MESA, AZ 85205-4933
(480) 696-5851
Mailing address
612 W BASELINE RD, STE 112, MESA, AZ 85210-6041
(480) 834-9039
(480) 964-7802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8489
AZ
Other
Enumeration date
03/18/2016
Last updated
08/15/2016
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