Individual
MS. DEBORAH A SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2139 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-1507
(719) 550-1172
(719) 591-2864
Mailing address
2139 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-1507
(719) 550-1172
(719) 591-2864
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
69284
CO
Other
Enumeration date
07/21/2005
Last updated
09/24/2007
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