Individual
DR. CYNTHIA KLINE O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 HIGHVIEW RD, MADISON, CT 06443-2554
(203) 216-2945
Mailing address
30 HIGHVIEW RD, MADISON, CT 06443-2554
(203) 216-2945
(203) 318-1898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7030
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12.007030
APRN LICENSE NUMBER
CT
Enumeration date
09/21/2017
Last updated
05/27/2021
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