Individual
BETHANY ANN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 JAMES ST, BELLINGHAM, WA 98225-4140
(360) 207-1914
Mailing address
1440 GRANT ST, BELLINGHAM, WA 98225-4921
(510) 778-4662
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61122791
WA
Other
Enumeration date
01/09/2013
Last updated
11/20/2021
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