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NPI Profile for DEBORAH L SULLIVAN in CALDWELL, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1093950420 |
|
| Status | Active | |
| Credentials | ARNP (Advanced Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 12/15/2008 | |
| Last updated | 03/26/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEBORAH L SULLIVAN
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DEBORAH L SULLIVAN, ARNP