Sullivan, Courtney D
Sullivan, Courtney D is an individual health care provider with primary practice located at 8111 Dodge St Suite 363, Omaha NE 68114-4129. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Sullivan, Courtney D can be contacted via phone (402) 354-8155.Contact Information
Primary practice address
8111 Dodge St Suite 363
Omaha NE 68114-4129
Phone: (402) 354-8155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209007230 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 111234 | Nebraska |
Profile Details
| NPI number | 1346497757 |
|---|---|
| LBN Legal business name | Sullivan, Courtney D |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2008 |
| Last updated | Sep 22nd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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