Individual provider · Type 1 NPI
Vivian Ray Sullivan, NP
Adult Health Nurse Practitioner · Livingston, TX
NPI number
1053435230
Active
Practice location
255 Rainbow Dr # 15504
Livingston, TX 77399-0001
Mailing address
255 Rinbow Dr # 15504
Livingston, TX 77399-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 281364 (CA) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1053435230
Vivian Ray Sullivan, NP's National Provider Identifier is 1053435230, issued on Mar 16, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Livingston, TX. The record was last updated on Jul 8, 2007.