Search › Idaho › 133VN1004X
Cristianna Sullivan, MD,
NPI 1336906528 · on the registry since 2024 · sole proprietor
Practice
- Address
- 25 Hokanson Ln Uppr Grande
Salmon, ID 83467 - Phone
- (208) 487-4839
Registry record
- Primary taxonomy
- 133VN1004X
133VN1004X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-04
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 Idaho