Individual
BRIANNA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2084 N SMITH RD, EATON RAPIDS, MI 48827-9323
(517) 897-4492
Mailing address
2084 N SMITH RD, EATON RAPIDS, MI 48827-9323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704424062
MI
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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