Individual provider · Type 1 NPI

Shannon Allison Sullivan

Student in an Organized Health Care Education/Training Program · Orange, CA

NPI number 1730716010 Active

Practice location

101 The City Drive S, City Tower, Ste 400
Orange, CA 92868

Call (714) 456-5691 Map

Fax (714) 456-8874

Mailing address

101 The City Dr S Ste 400
Orange, CA 92868-3201

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730716010

Shannon Allison Sullivan's National Provider Identifier is 1730716010, issued on Mar 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange, CA. The record was last updated on Jan 14, 2021.