Individual provider · Type 1 NPI
Laura A. Sullivan, CRNP
Acute Care Nurse Practitioner · Fort Rucker, AL
NPI number
1457358079
Active
Practice location
Dept Of Vet Affairs Wiregrass Hbpc, 301 Andrews Avenue
Fort Rucker, AL 36362
Fax (334) 503-7869
Mailing address
102 Still Water Dr
Enterprise, AL 36330-8314
Other practice locations
- 2055 E South Blvd, 507, Montgomery, AL 36116-2001 · (334) 265-7075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1-093306 (AL) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1457358079
Laura A. Sullivan, CRNP's National Provider Identifier is 1457358079, issued on Jun 29, 2005. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fort Rucker, AL. The record was last updated on Jul 23, 2020.