Individual
SHEILA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
610 OLD GREENVILLE RD, SPARTANBURG, SC 29301-4704
(864) 205-2456
(864) 327-8214
Mailing address
610 OLD GREENVILLE RD, SPARTANBURG, SC 29301-4704
(864) 205-2456
(864) 327-8214
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
16570
SC
164W00000X
Licensed Practical Nurse
P16570
SC
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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