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Individual

MARY ANN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1901 MAIN ST, NORTH LITTLE ROCK, AR 72114-2831
(501) 955-2674
(501) 955-2754
Mailing address
1901 MAIN ST, NORTH LITTLE ROCK, AR 72114-2831
(501) 955-2674
(501) 955-2754

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R15409
AR

Other

Enumeration date
02/22/2012
Last updated
02/22/2012
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