Individual
LAURA ROSE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 OLEANDER DR, WILMINGTON, NC 28403-5149
(910) 392-1921
Mailing address
4600 OLEANDER DR, WILMINGTON, NC 28403-5149
(910) 392-1921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018138
NC
Other
Enumeration date
05/18/2023
Last updated
01/22/2024
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