Sullivan, Icel R

Sullivan, Icel R is an individual health care provider with primary practice located at 888 Swift Blvd , Richland WA 99352-3514. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Sullivan, Icel R can be contacted via phone (509) 946-4611.

Contact Information

Primary practice address
888 Swift Blvd Richland WA 99352-3514
Phone: (509) 946-4611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00164194 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP61060250 Washington

Profile Details

NPI number 1770116436
LBN Legal business name Sullivan, Icel R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2020
Last updated Nov 11th, 2021 - about 5 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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