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Individual
KATHRYN SULLIVAN MITRA
Active
Individual
KATHRYN SULLIVAN MITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
530419
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
005244
CT
363LA2100X
Acute Care Nurse Practitioner
430397
NY
Other
Enumeration date
05/21/2008
Last updated
04/04/2023
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