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Individual

AMBER SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1000 TAVERN RD STE 100, MARTINSBURG, WV 25401-2853
(304) 267-9355
(304) 267-9358
Mailing address
333 DEVONSHIRE RD, HAGERSTOWN, MD 21740-4507
(301) 302-9412

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102160
WV

Other

Enumeration date
10/29/2012
Last updated
03/07/2021
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