Individual
ANNELIESE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 384-7518
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0999223-NP
CO
Other
Enumeration date
10/17/2023
Last updated
10/23/2023
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