person
George Blake Sullivan
Primary Care Nurse Practitioner in Bremerton, Washington
NPI 1225671720

George Blake Sullivan is a Primary Care Nurse Practitioner based in Bainbridge Island, WA and is specialized in Primary Care. George Blake Sullivan practices in Bremerton, WA. The NPI Number for George Blake Sullivan is 1225671720 and holds a License No. AP61014314 (Washington).

The current practice location address for George Blake Sullivan is 400 Warren Ave Ste 200, Bremerton, WA and can be reached out via phone at 360-377-3776. You can also correspond with George Blake Sullivan through the mailing address at 16310 REITAN RD NE, BAINBRIDGE ISLAND, WA - 98110-3047 (mailing address contact number: ).

Location: 400 Warren Ave Ste 200, Bremerton, WA, 98110-3047
person
Provider Profile Details
NPI Number
1225671720
Provider Name
George Blake Sullivan
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 Warren Ave Ste 200, Bremerton, WA, 98110-3047
Phone Number
360-377-3776
Fax Number
Provider Enumeration Date
10/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Warren Ave Ste 200
City
State
Zip
98337-1467
Phone Number
360-377-3776
Fax Number
person
Provider Business Mailing Address Details
Address
400 Warren Ave Ste 200
City
State
Zip
98337-1467
Phone Number
360-377-3776
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
AP61014314 (Washington)
Definition
Definition to come...
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