Individual
NICHOLAS C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
(720) 874-4462
Mailing address
PO BOX 17528, DENVER, CO 80217-0528
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0991074-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154745784
—
MO
05
—
1154745784
—
MT
05
—
51558769
—
CO
Enumeration date
02/18/2014
Last updated
06/04/2020
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