NPI 1891005492
Glenda Sullivan
Practice location
- Address
- 10710 S. Morningside Dr, Goodyear, AZ 85338
- Phone
- (623) 932-2429
Registered specialties
Child Mental Illness Respite Care
Primary
Registry record
- NPI
- 1891005492
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Oct 2010
- Record last updated
- 15 Oct 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.