Individual provider · Type 1 NPI
Laura Marie Sullivan, RN, CNP
Primary Care Nurse Practitioner · Roseville, MN
NPI number
1972819324
Active
Practice location
2355 Highway 36 W
Roseville, MN 55113-3902
Mailing address
2355 Highway 36 W Ste 400
Roseville, MN 55113-3905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 363L00000X (MN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1686 (MN) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1972819324
Laura Marie Sullivan, RN, CNP's National Provider Identifier is 1972819324, issued on Aug 24, 2010. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Roseville, MN. The record was last updated on Nov 12, 2020.