| Doctor Name: | MRS. ROSEMARY SULLIVAN |
| NPI Number: | 1730205899 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN |
| License Number: | RN051754 |
| Business Practice Address: | 943 Hualapai Way Peach Springs, AZ - 864340190 |
| Business Phone Number: | 9287692900 |
| Business Fax Number: | 9287692701 |
| Mailing Address: | Po Box 190, PEACH SPRINGS |
| State: | AZ |
| Postal Code: | 864340190 |
| Phone Number: | 9287692900 |
| Fax Number: | 9287692701 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | RN051754 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |