Individual provider · Type 1 NPI

Rachel Marie Sullivan, RN, CNP

Pediatric Nurse Practitioner · St. Paul, MN

NPI number 1750616256 Active

Practice location

345 Smith Ave N
St. Paul, MN 55102-2346

Mailing address

347 Smith Ave N, Suite 302
St. Paul, MN 55102-2387

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200XR157587-7 (MN)
Pediatric Nurse Practitioner Primary 363LP0200X20091488 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1750616256

Rachel Marie Sullivan, RN, CNP's National Provider Identifier is 1750616256, issued on Oct 16, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Paul, MN. The record was last updated on Oct 16, 2009.