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

Mr. Stephen D Sullivan, RN

Individual provider Critical Care Medicine Registered Nurse · NPI 1063208593

Mr. Stephen D Sullivan, RN is a Critical Care Medicine Registered Nurse in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025
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

1717 S J St
Tacoma, WA 98405-4933
Phone: (253) 426-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence RN60082129 (WA)

Record details

NPI number1063208593
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials RN
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 20, 2025
Mailing address814 Eastside St Ne # Be, Olympia, WA 98506-4032

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