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Individual

KASEY PANHUISE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
950 PACIFIC AVE STE 1025, TACOMA, WA 98402-4469
(253) 533-7264
Mailing address
950 PACIFIC AVE STE 1025, TACOMA, WA 98402-4469
(253) 533-7264

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61598856
WA

Other

Enumeration date
08/28/2024
Last updated
08/28/2024
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