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NPI 1336388149

IndividualActive

Carly Sullivan, RN

NPI 1336388149 · Home Health Registered Nurse · Bend, OR

Provider details

NPI number: 1336388149
Entity type: Individual
Primary specialty: Home Health Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: Yes
License: 200742779RN (OR)

Practice location

1837 Nw Harriman St

Bend, OR 97701-1312

Phone: (541) 350-9448

More OR providers

Mailing address

1837 Nw Harriman St

Bend, OR 97701-1312

Registry dates

Enumerated: 2009-02-18
Last updated: 2009-02-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Carly Sullivan, RN — NPI 1336388149, Bend, OR | NPI Central