Sullivan, Wanda J

Sullivan, Wanda J is an sole proprietor health care provider with primary practice located at 765 S Bonner St , Ruston LA 71270-5801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sullivan, Wanda J can be contacted via phone (318) 202-5935.

Contact Information

Primary practice address
765 S Bonner St Ruston LA 71270-5801
Phone: (318) 202-5935
Fax: (318) 202-5933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN073140 Louisiana

Profile Details

NPI number 1740360353
LBN Legal business name Sullivan, Wanda J
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Feb 18th, 2016 - about 10 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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