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Individual

KAREN ANN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP121054
ME
367A00000X
Advanced Practice Midwife
Primary
CNM82012
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
404090099
ME
Enumeration date
07/19/2006
Last updated
01/13/2026
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