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

Miss. Thea Delora Sullivan, RN

Individual provider Ambulatory Care Registered Nurse · NPI 1356584379

Miss. Thea Delora Sullivan, RN is an Ambulatory Care Registered Nurse in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3628 River Heights Xing SE
Marietta, GA 30067-4870
Phone: (770) 272-0716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence RN196107 (GA)

Record details

NPI number1356584379
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 7, 2009
Last updated in NPPESApril 7, 2009

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