Individual
MRS. PATRICIA L. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
608 WILLARD ST, FRONTENAC, KS 66763-2120
(620) 231-8849
(620) 231-8847
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-6843
(417) 347-9397
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5345489
KS
363LF0000X
Family Nurse Practitioner
45489
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000860H
—
KS
Enumeration date
11/17/2006
Last updated
07/07/2021
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