Individual provider · Type 1 NPI
Courtney D. Sullivan, ACNP
Nurse Practitioner · Omaha, NE
Practice location
8111 Dodge St, Suite 363
Omaha, NE 68114-4129
Mailing address
7261 Mercy Rd, Suite 363
Omaha, NE 68124-2311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209007230 (IL) |
| Nurse Practitioner Primary | 363L00000X | 111234 (NE) |
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 1346497757
Courtney D. Sullivan, ACNP's National Provider Identifier is 1346497757, issued on Aug 27, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Omaha, NE. The record was last updated on Sep 22, 2016.