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Mrs. Vivian Ray Sullivan, NP
Adult Health Nurse Practitioner in Livingston, Texas
NPI 1053435230

Vivian Ray Sullivan is an Adult Health Nurse Practitioner based in Livingston, TX and is specialized in Adult Health. Vivian Ray Sullivan practices in Livingston, TX and has the professional credentials of NP. The NPI Number for Vivian Ray Sullivan is 1053435230 and holds a License No. 281364 (Texas).

The current practice location address for Vivian Ray Sullivan is 255 Rainbow Dr # 15504, Livingston, TX and can be reached out via phone at 818-512-1380.

Location: 255 Rainbow Dr # 15504, Livingston, TX, 77399-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053435230
Provider Name
Vivian Ray Sullivan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
255 Rainbow Dr # 15504, Livingston, TX, 77399-0001
Phone Number
818-512-1380
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
255 Rainbow Dr # 15504
City
Livingston
State
Texas
Zip
77399-0001
Phone Number
818-512-1380
Fax Number
person
Provider Business Mailing Address Details
Address
255 Rainbow Dr # 15504
City
Livingston
State
Texas
Zip
77399-0001
Phone Number
818-512-1380
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
281364 (California)
Definition
Definition to come...
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