Individual
KEELY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(518) 569-2886
Mailing address
151 QUARRY LN, SWANTON, VT 05488-8946
(518) 569-2886
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
101.0135179
VT
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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