Individual provider · Type 1 NPI

Mark Ashley Sullivan, RN

Critical Care Medicine Registered Nurse · Melbourne, FL

NPI number 1194931964 Active

Practice location

1350 Hickory St
Melbourne, FL 32901-3278

Mailing address

1517 Burgess Ct
Melbourne, FL 32935-3201

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200XRN9190840 (FL)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1194931964

Mark Ashley Sullivan, RN's National Provider Identifier is 1194931964, issued on May 16, 2007. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Melbourne, FL. The record was last updated on Jul 8, 2007.