Wanda J. Sullivan, RN

Nurse Practitioner · Ruston, LA

Individual Active NPI

NPI number 1740360353

Practice location

765 S Bonner St
Ruston, LA 71270-5801
Phone
(318) 202-5935
Fax
(318) 202-5933

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NPI record

NPI
1740360353
Entity type
Individual (Type 1)
Enumeration date
October 17, 2006
Last updated
February 18, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X RN073140 LA

Mailing address

PO Box 1839
Ruston, LA 71273-1839
Phone
(318) 202-5935
Fax
(318) 202-5933

About Wanda Sullivan

Wanda J. Sullivan, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 765 S Bonner St, Ruston, LA 71270-5801. The NPI number 1740360353 was assigned on October 17, 2006 and the record was last updated on February 18, 2016.

Wanda Sullivan lists a license in the registry: #RN073140 (LA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wanda J. Sullivan, RN?

The NPI number is 1740360353.

What is the phone number of Wanda Sullivan?

The phone number listed for the practice location is (318) 202-5935.

Where is Wanda Sullivan located?

765 S Bonner St, Ruston, LA 71270-5801.

What is the taxonomy code for Wanda Sullivan?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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