Individual provider · Type 1 NPI

Ryan Sullivan

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1992691794 Active

Practice location

12901 Bruce B Downs Blvd
Tampa, FL 33612-4742

Call (720) 670-8952 Map

Mailing address

1000 Plateau Rd
Longmont, CO 80504-5629

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992691794

Ryan Sullivan's National Provider Identifier is 1992691794, issued on Jun 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Jun 17, 2025.