Individual provider · Type 1 NPI
Renee R. Sullivan, APRN, BC
Gerontology Nurse Practitioner · North Platte, NE
NPI number
1366472722
Active
Practice location
600 E Francis St, Suite 3
North Platte, NE 69101-6796
Fax (308) 532-6964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 110695 (NE) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1366472722
Renee R. Sullivan, APRN, BC's National Provider Identifier is 1366472722, issued on Jul 3, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in North Platte, NE. The record was last updated on Sep 4, 2014.