Individual
ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(202) 877-7000
Mailing address
6305 OLD CHESTERBROOK RD, MC LEAN, VA 22101-4711
(703) 442-8685
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN43678
DC
Other
Enumeration date
02/23/2006
Last updated
07/09/2007
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