Individual provider · Type 1 NPI
Breanne Sullivan
Student in an Organized Health Care Education/Training Program · Dumont, NJ
NPI number
1124784053
Active
Practice location
42 Dunn Pl
Dumont, NJ 07628-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1124784053
Breanne Sullivan's National Provider Identifier is 1124784053, issued on Nov 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dumont, NJ. The record was last updated on Nov 15, 2021.