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

ICEL R SULLIVAN, ARNP

Active

ICEL R SULLIVAN, ARNP is a Pediatric Nurse Practitioner healthcare provider located in RICHLAND, Washington. NPI 1770116436 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · RICHLAND, WA

Registration Details

NPI Number
1770116436
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2020 (6.5080885647106 yrs)
Last Updated
Nov 11, 2021
Licenses
RN00164194 (WA)
AP61060250 (WA)

Practice Information

Address
888 SWIFT BLVD
RICHLAND, WA, 993523514
Browse WA providers · Browse ZIP 99352
Phone
5099464611
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in RICHLAND, WA

Name Credential NPI
LINDSEY M GRABNER ARNP 1629238324
MRS. SHAWNA JANE BYRNES ARNP 1780052332
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.