IndividualActive
Stephen Sullivan, RN
NPI 1063208593 · Critical Care Medicine Registered Nurse · Tacoma, WA
Provider details
- NPI number
- 1063208593
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN
- Sole proprietor
- No
- License
- RN60082129 (WA)
Mailing address
814 Eastside St Ne # Be
Olympia, WA 98506-4032
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.