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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY ELISABETH SULLIVAN, STNA

Active Sole Proprietor

MARY ELISABETH SULLIVAN, STNA is a Nurse's Aide healthcare provider located in LAKE WAYNOKA, Ohio. NPI 1043992738 is currently active in the NPPES registry. Verify at CMS.

Nurse's Aide · LAKE WAYNOKA, OH

Registration Details

NPI Number
1043992738
Provider Type
Individual
Gender
Female
NPI Issued
Aug 2, 2023 (3.0266558506532 yrs)
Last Updated
Aug 2, 2023
License
404196750719 (OH)
Sole Proprietor
Yes

Practice Information

Address
112 STALLION DR
LAKE WAYNOKA, OH, 451719814
Browse OH providers · Browse ZIP 45171
Phone
9377792182
Primary Specialty
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.