Individual provider · Type 1 NPI
Michael Daris Sullivan, NP
Family Nurse Practitioner · Charlotte, NC
NPI number
1679935514
Active
Practice location
225 Baldwin Ave
Charlotte, NC 28204-3109
Other practice locations
- 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 · (803) 434-8323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20059 (SC) |
| Family Nurse Practitioner Primary | 363LF0000X | 5017901 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679935514
Michael Daris Sullivan, NP's National Provider Identifier is 1679935514, issued on Mar 21, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 27, 2024.