Individual
MRS. MARTHA J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP CERTIFIED NURSE
Contact information
Practice address
2300 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3619
(815) 971-2000
Mailing address
2300 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3619
(815) 971-2000
(815) 633-0096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209001036
IL
Other
Enumeration date
08/16/2006
Last updated
01/29/2014
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