Laurie Sullivan ARNP
Nurse Practitioner in Tampa, FL(View on Map)
Full Name
Laurie Sullivan ARNP
NPI Number
1073529582
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/01/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ARNP2153932
Contact
Information
Purpose
Mailing
Location
Address
12902 USF MAGNOLIA DR
12902 USF MAGNOLIA DR
City
Tampa
Tampa
State
FL
FL
Postal Code
33612-9416
33612-9416
Country
US
US
Telephone Number
N/A
(813) 745-4673
Identifiers
Identifier
Y036B
305702000
Identifier State
FL
FL
Identifier Issuer
BLUE CROSS BLUE SHIELD
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/12/2014