Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren T Sullivan, NP

Individual provider Nurse Practitioner · NPI 1083960843

Lauren T Sullivan, NP is a Nurse Practitioner in Oshkosh, Wisconsin. Qualified in 2012, 14 years ago. Practices with Fox Valley Plastic Surgery, SC, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2400 Witzel Ave Ste A
Oshkosh, WI 54904-8375
Phone: (920) 233-1540
Fax: (920) 651-6951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4955-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 154169 (WI)

Record details

NPI number1083960843
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 31, 2012
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Fox Valley Plastic Surgery, S.C. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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