Individual provider · Type 1 NPI

Wanda J. Sullivan, RN

Nurse Practitioner · Ruston, LA

NPI number 1740360353 Active

Practice location

765 S Bonner St
Ruston, LA 71270-5801

Fax (318) 202-5933

Mailing address

PO Box 1839
Ruston, LA 71273-1839

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN073140 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1740360353

Wanda J. Sullivan, RN's National Provider Identifier is 1740360353, issued on Oct 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ruston, LA. The record was last updated on Feb 18, 2016.