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MS. NANCY CARLA SULLIVAN LPN
NPI 1700135910
Licensed Practical Nurse in Racine, WI

Active since September 04, 2012
2000 DOMANIK DR, RACINE, WI 53404(262) 633-4800(262) 633-5999 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Nancy Carla Sullivan Lpn NPPES

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

MS. NANCY CARLA SULLIVAN LPN (NPI 1700135910) is an individual licensed practical nurse in Racine, Wisconsin, licensed in Wisconsin (134413) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1700135910
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. NANCY CARLA SULLIVANCredential: LPN
Location Address2000 DOMANIK DRRacine, WI 53404-2910
Mailing Address2000 Domanik DrRacine, WI 53404-2910 · (262) 633-4800 · Fax (262) 633-5999
Phone(262) 633-4800
Fax(262) 633-5999
Sole ProprietorNo
Enumeration DateSeptember 4, 2012
✔ NPI 1700135910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 134413
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2000 DOMANIK DR, Racine, WI 53404
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIZZIE MARIE DURGOM RN
Registered Nurse
2000 DOMANIK DR
RACINE, WI 53404
Racine County (262) 633-4800
MR. DENNIS NORMAN VOLL CSW
Social Worker
2000 DOMANIK DR
RACINE, WI 53404
Racine County (262) 676-5833
MRS. JANET ANN SHIMKUS MSW
Social Worker (Clinical)
2000 DOMANIK DR
RACINE, WI 53404
Racine County (262) 676-5815
MS. BARBARA TALASKA LPN
Licensed Practical Nurse
2000 DOMANIK DR
RACINE, WI 53404
Racine County (262) 676-5805
KELLEY COOPER RN
Registered Nurse (Home Health)
2000 DOMANIK DR
RACINE, WI 53404
Racine County (262) 633-4800
MR. DEREK QUELLA RN
Registered Nurse
2000 DOMANIK DR
RACINE, WI 53404
Racine County (262) 633-4800

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 Nancy Sullivan's NPI number?

The NPI number for Nancy Sullivan is 1700135910. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Where is Nancy Sullivan located?

Nancy Sullivan practices at 2000 Domanik Dr, Racine, WI 53404. The listed phone number is (262) 633-4800.

What is Nancy Sullivan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nancy Sullivan was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.