Individual provider · Type 1 NPI

Sandra Sullivan, FNP

Family Nurse Practitioner · Fresno, CA

NPI number 1154541639 Active

Practice location

1207 E Herndon Ave
Fresno, CA 93720-3235

Fax (559) 432-4574

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X641477 (CA)
Family Nurse Practitioner Primary 363LF0000X23222 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1154541639

Sandra Sullivan, FNP's National Provider Identifier is 1154541639, issued on Apr 26, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fresno, CA. The record was last updated on Aug 5, 2013.