Individual
DEVIN CLAIRE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4088 W 1820 S, SALT LAKE CITY, UT 84104-4885
(801) 975-7799
Mailing address
19 HASTINGS PL, MONMOUTH BEACH, NJ 07750-1104
(732) 233-5397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13185640-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2022
Last updated
02/22/2023
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