Individual provider · Type 1 NPI

Wamaitha Sullivan, FNP-BC

Family Nurse Practitioner · Gibson City, IL

NPI number 1689908220 Active

Practice location

1120 N Melvin St
Gibson City, IL 60936-1477

Other practice locations

  • 819 Bloomington Rd, Champaign, IL 61820-2101 · (217) 356-1558

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X209007740 (IL)
Family Nurse Practitioner Primary 363LF0000X277000092 (IL)

Family Nurse Practitioner: Definition to come...

52 other providers at this address

Other family nurse practitioner providers in Gibson City

See all in Gibson City →

About NPI 1689908220

Wamaitha Sullivan, FNP-BC's National Provider Identifier is 1689908220, issued on Sep 30, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gibson City, IL. The record was last updated on Jun 4, 2025.