Individual
ASHLEY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
748 TAYLOR RD, GAHANNA, OH 43230-3766
(614) 804-3159
Mailing address
7049 NOCTURNE RD N, REYNOLDSBURG, OH 43068-1769
(614) 804-3159
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN501505
OH
Other
Enumeration date
07/22/2022
Last updated
08/01/2022
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