Individual provider · Type 1 NPI
Marcia Sullivan, NP
Nurse Practitioner · Milwaukee, WI
Practice location
3056 S Kinnickinnic Ave
Milwaukee, WI 53207-2521
Mailing address
4425 N Port Washington Rd, Attn: Clinic Credentialing
Glendale, WI 53212-1082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 935 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1225115652
Marcia Sullivan, NP's National Provider Identifier is 1225115652, issued on Nov 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Milwaukee, WI. The record was last updated on May 25, 2011.