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Individual

COLLEEN P SULLIVAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSN CS C AP MHCNS AP

Contact information

Practice address
10918 ELM AVENUE, CRITTENTON CHILDRENS CENTER, KANSAS CITY, MO 64134
(816) 765-6600
(816) 767-4159
Mailing address
329 NW ROCKHILL LN, LEES SUMMIT, MO 64081
(816) 525-9787
(816) 525-1191

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
097147
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1405842052
KS

Other

Enumeration date
05/03/2006
Last updated
07/08/2007
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