Individual provider · Type 1 NPI

Constance Marie Sullivan

Student in an Organized Health Care Education/Training Program · Roanoke, VA

NPI number 1073401873 Active

Practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Call (540) 981-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073401873

Constance Marie Sullivan's National Provider Identifier is 1073401873, issued on Jun 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roanoke, VA. The record was last updated on Apr 7, 2026.