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

Mrs. Amanda Marie Sullivan, LPN

Individual provider Licensed Practical Nurse · NPI 1407121221

Mrs. Amanda Marie Sullivan, LPN is a Licensed Practical Nurse in Fall River, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

610 N Main St
Fall River, WI 53932-9570
Phone: (920) 382-5666
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 304840-31 (WI)

Record details

NPI number1407121221
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedMarch 12, 2012
Last updated in NPPESMarch 13, 2012