Search › Indiana › 101YM0800X
Maralissa Sullivan, MS
NPI 1700130267 · on the registry since 2012 · sole proprietor
Practice
- Address
- Po Box 9012
Fort Wayne, IN 46899 - Phone
- (260) 676-0074
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-21
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 Indiana