Individual
SARAH SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1515 FRUITVALE AVE, OAKLAND, CA 94601-2322
(510) 535-4000
Mailing address
737 2ND ST, #308, OAKLAND, CA 94607-3000
(510) 277-2078
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
7311
CA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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