NPI Profile for TRACY SULLIVAN in ISLANDIA, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Perinatal |
363LP1700X | 50 | Nurse Practitioner |
| NPI Number | 1902989957 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/23/2006 | |
| Last updated | 01/23/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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TRACY SULLIVAN
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