Individual
KRISTIN SINA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 ROCKEFELLER DR, MUSKOGEE, OK 74401-5056
(918) 494-8500
(918) 494-5455
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
792822
TX
363L00000X
Nurse Practitioner
86574
OK
363L00000X
Nurse Practitioner
AP127645
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
86574
OK
363LC0200X
Critical Care Medicine Nurse Practitioner
86574
OK
Other
Enumeration date
03/03/2015
Last updated
10/15/2024
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