Individual
DR. MICHELLE LEE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
10043 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4856
(703) 201-1264
Mailing address
211 BRIAR CIR, BUMPASS, VA 23024-3666
(703) 201-1264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178334
VA
Other
Enumeration date
06/24/2020
Last updated
03/16/2022
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