Individual provider · Type 1 NPI

Sandra N. Sullivan

Licensed Practical Nurse · Omaha, NE

NPI number 1750235503 Active

Practice location

4102 Woolworth Ave
Omaha, NE 68105-1851

Call (402) 999-8506 Map

Fax (612) 725-1311

Mailing address

11336 Raleigh Dr
Omaha, NE 68164-2257

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X22219 (NE)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1750235503

Sandra N. Sullivan's National Provider Identifier is 1750235503, issued on Feb 26, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Omaha, NE. The record was last updated on Feb 26, 2026.