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Contact Information

SHARON A SULLIVAN, RNC-OB, IBCLC
17307 SNEE OOSH RD
LA CONNER, WA98257-9112
 Phone: 907-738-4507
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lactation Consultant

163WL0100X
 

Obstetric, Inpatient

163WX0003X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SHARON A SULLIVAN · (Female)

NPI Number 1699965392
Status Active
Credentials RNC-OB, IBCLC
Entity Individual
Enumeration date 07/29/2007
Last updated 02/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 26022
  • IL License # 104338339
  • VA License # 11169652
  • WA License # 60926340
  • AK Other 26022 RN LICENSE
  • VA Other 11169652 IBCLC - INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT
  • WA Other 60926340 RN LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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