Individual provider · Type 1 NPI
Ashanti Sullivan, RN
General Practice Registered Nurse · Simpsonville, SC
NPI number
1871246827
Active
Practice location
5 Gorham Ct
Simpsonville, SC 29680-7914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 89903 (SC) |
General Practice Registered Nurse: Definition to come...
About NPI 1871246827
Ashanti Sullivan, RN's National Provider Identifier is 1871246827, issued on Jan 31, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Simpsonville, SC. The record was last updated on Jan 31, 2022.