Provider Demographics
NPI:1912397738
Name:SULLINGER, CAMI RAE (MSN, RN, AGACNP)
Entity Type:Individual
Prefix:MRS
First Name:CAMI
Middle Name:RAE
Last Name:SULLINGER
Suffix:
Gender:F
Credentials:MSN, RN, AGACNP
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Other - First Name:
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Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:J82
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:419-306-7721
Mailing Address - Fax:216-636-6356
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:J82
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:419-306-7721
Practice Address - Fax:216-636-6356
Is Sole Proprietor?:No
Enumeration Date:2015-02-01
Last Update Date:2015-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHCOA.16453-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care