Individual
MRS. BRENDA L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 S SANTA FE AVE, SALINA, KS 67401-4144
(785) 452-7742
(785) 452-7256
Mailing address
400 S SANTA FE AVE, SALINA, KS 67401-4144
(785) 452-7742
(785) 452-7256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76423
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004048810001
—
KS
Enumeration date
11/25/2014
Last updated
01/28/2025
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