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Andre Sullivan, M.D

NPI 1023162559 · on the registry since 2007 · sole proprietor

Practice

Address
325 Mdg, 340 Magnolia Circle
Tyndall Afb, FL 32403
Phone
(703) 731-2566
Clinicians at this address
11

Additional practice sites

  • 2003 Kootenai Health Way, Coeur D Alene, ID

Registry record

Primary taxonomy
Psychiatry
2084P0800X
Also registered as
Psychiatry
101YP2500X
Psychiatry
Licence states on file
ID, TX, TN, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida