Individual
KATHERINE ANN SULLIVAN
Active
Individual
KATHERINE ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041432733
IL
363LF0000X
Family Nurse Practitioner
Primary
209018516
IL
Other
Enumeration date
07/14/2019
Last updated
09/20/2021
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