| Doctor Name: | SUSAN KATHERINE SULLIVAN |
| NPI Number: | 1063663755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 152757 |
| Business Practice Address: | 10000 Brecksville Rd Brecksville, OH - 441413204 |
| Business Phone Number: | 4405263030 |
| Business Fax Number: | 4405462765 |
| Mailing Address: | 10,000 Brecksville Rd, BRECKSVILLE |
| State: | OH |
| Postal Code: | 44141 |
| Phone Number: | 4405263030 |
| Fax Number: | 4405462765 |
| NPI Enumeration Date: | 10/01/2008 |
| NPI Last Update Date: | 10/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | 152757 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |