Individual provider · Type 1 NPI
Rachel Sullivan
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1407519614
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
978 Kedron Ave
Morton, PA 19070-1612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP023781 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1407519614
Rachel Sullivan's National Provider Identifier is 1407519614, issued on Oct 15, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 15, 2021.