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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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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