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

MRS. ANNATA RAE SULLIVAN, RN, APRN

Active

MRS. ANNATA RAE SULLIVAN, RN, APRN is a Family Nurse Practitioner healthcare provider located in DYESS, AFB, Texas. NPI 1215904438 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · DYESS, AFB, TX

Registration Details

NPI Number
1215904438
Provider Type
Individual
Gender
Female
NPI Issued
Mar 7, 2006 (20.293747078035 yrs)
Last Updated
Jul 8, 2007
License
110470 (NE)

Practice Information

Address
697 LOUISIANA DR.
DYESS, AFB, TX, 796074425
Browse TX providers · Browse ZIP 79607
Phone
3256963543
Primary Specialty
Family Nurse Practitioner
363LF0000X
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.