Search › Wisconsin › 164W00000X
Amanda Sullivan, L.P.N,
NPI 1407121221 · on the registry since 2012 · sole proprietor
Practice
- Address
- 610 N Main St
Fall River, WI 53932 - Phone
- (920) 382-5666
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-03-13
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 Wisconsin