Individual provider · Type 1 NPI

Sullivan Thomas Glover, RN

Registered Nurse · Cheyenne, WY

NPI number 1104671007 Active

Practice location

2360 E Pershing Blvd
Cheyenne, WY 82001-5356

Mailing address

3537 Pierce Ave
Cheyenne, WY 82001-2136

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X48989 (WY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104671007

Sullivan Thomas Glover, RN's National Provider Identifier is 1104671007, issued on Apr 23, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Cheyenne, WY. The record was last updated on Apr 23, 2024.