NPI 1912387416

Robert Carl Sullivan, ATC

Practitioner Health Educator Norfolk, NE

Practice location

Address: 1500 Koenigstein Ave, Norfolk, NE 68701-3664
Phone: (402) 992-1272

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X Licence 452 (NE)

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Registry record

NPI: 1912387416
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2015
Record last updated: 1 Jun 2015

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.