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LAURA A SULLIVAN CRNP
NPI 1457358079
Nurse Practitioner - Acute Care in Fort Rucker, AL

Active since June 29, 2005
DEPT OF VET AFFAIRS WIREGRASS HBPC, 301 ANDREWS AVENUE, FORT RUCKER, AL 36362(334) 272-4670(334) 503-7869 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laura A Sullivan Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA A SULLIVAN CRNP (NPI 1457358079) is an individual acute care provider in Fort Rucker, Alabama, licensed in Alabama (1-093306) and active in the NPI registry since June 2005. She maintains a secondary practice location in Montgomery.

NPPES Registry Identity

NPI1457358079
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLAURA A SULLIVANCredential: CRNP
Location AddressDEPT OF VET AFFAIRS WIREGRASS HBPC, 301 ANDREWS AVENUEFort Rucker, AL 36362
Mailing Address102 Still Water DrEnterprise, AL 36330-8314 · (334) 434-2417 · Fax (334) 503-7869
Phone(334) 272-4670
Fax(334) 503-7869
Sole ProprietorNo
Enumeration DateJune 29, 2005
Last NPPES UpdateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
✔ NPI 1457358079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-093306
DEPT OF VET AFFAIRS WIREGRASS HBPC, Fort Rucker, AL 36362
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Secondary Practice Location 1

Location 12055 E South Blvd, 507Montgomery, AL 36116-2001 · Phone (334) 265-7075 · Fax (334) 261-6113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Sullivan's NPI number?

The NPI number for Laura Sullivan is 1457358079. It was assigned to this individual provider in the NPPES registry on June 29, 2005.

Where is Laura Sullivan located?

Laura Sullivan practices at Dept Of Vet Affairs Wiregrass Hbpc 301 Andrews Avenue, Fort Rucker, AL 36362. The listed phone number is (334) 272-4670.

What is Laura Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Laura Sullivan was last updated on July 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.