Individual
PHOEBE MANNING SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
333 E CAMPUS MALL # 6140, MADISON, WI 53715-1365
(608) 262-5660
Mailing address
333 E CAMPUS MALL # 6140, MADISON, WI 53715-1365
(608) 262-5660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193620-30
WI
367A00000X
Advanced Practice Midwife
Primary
148874-32
WI
Other
Enumeration date
12/27/2012
Last updated
06/16/2025
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