Individual provider · Type 1 NPI

Ronin Anthony Sullivan

Student in an Organized Health Care Education/Training Program · Denver, CO

NPI number 1104408285 Active

Practice location

17858 E 54th Ave
Denver, CO 80249-8819

Call (850) 543-7434 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 1104408285

Ronin Anthony Sullivan's National Provider Identifier is 1104408285, issued on Apr 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Denver, CO. The record was last updated on Apr 27, 2021.