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Individual
KATHERINE SULLIVAN
Active
Individual
KATHERINE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
779773
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403481
NY
Other
Enumeration date
10/31/2019
Last updated
07/12/2021
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