Individual
KATHLEEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2380 TIMBERCREST CIR W, CLEARWATER, FL 33763-1624
(727) 799-7828
(727) 799-1680
Mailing address
2110 58TH ST W, BRADENTON, FL 34209-5660
(727) 799-7828
(727) 799-1680
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11007033
FL
Other
Enumeration date
01/22/2014
Last updated
02/16/2022
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