Individual
CHRISTINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(516) 458-7837
Mailing address
79 ALEXANDRA DR, STAMFORD, CT 06903-1731
(516) 458-7837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
335063
NY
363LF0000X
Family Nurse Practitioner
Primary
5266
CT
Other
Enumeration date
10/02/2006
Last updated
02/08/2021
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