Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA MARIE SULLIVAN, L.P.N
Active Sole ProprietorMRS. AMANDA MARIE SULLIVAN, L.P.N is a Licensed Practical Nurse healthcare provider located in FALL RIVER, Wisconsin. NPI 1407121221 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · FALL RIVER, WI
Registration Details
- NPI Number
- 1407121221
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2012 (14.427445223784 yrs)
- Last Updated
- Mar 13, 2012
- License
-
304840-31 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
610 N MAIN STFALL RIVER, WI, 539329570Browse WI providers · Browse ZIP 53932
- Phone
- 9203825666
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.