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Individual

KRISTEN T SULLIVAN

Active
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Individual

KRISTEN T SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN159067
AZ
363LP0200X
Pediatric Nurse Practitioner
AP3435
AZ
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP3435
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
471784
AZ
Enumeration date
09/03/2009
Last updated
03/29/2018
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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