Sullivan, Nancy Carla

Sullivan, Nancy Carla is an individual health care provider with primary practice located at 2000 Domanik Dr , Racine WI 53404-2910. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Sullivan, Nancy Carla can be contacted via phone (262) 633-4800.

Contact Information

Primary practice address
2000 Domanik Dr Racine WI 53404-2910
Phone: (262) 633-4800
Fax: (262) 633-5999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 134413 Wisconsin

Profile Details

NPI number 1700135910
LBN Legal business name Sullivan, Nancy Carla
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2012
Last updated Sep 4th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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