SearchOhio104100000X

Patrice Sullivan

NPI 1609426840 · on the registry since 2019 · sole proprietor

Practice

Address
4100 W 3rd St Ste 241
Dayton, OH 45428
Phone
(937) 268-6511
Organisation at this address
Vamc
Dayton Vamc
Dayton Vamc
Veteran'S Administration
Dayton Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
520

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-19

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 Ohio