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Individual

KATELYN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
134 STATE STREET, MERIDEN, CT 06450-7044
(203) 237-2229
(203) 686-1677
Mailing address
134 STATE STREET, MERIDEN, CT 06450-7044
(203) 237-2229
(203) 686-1677

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
79521
CT
363LF0000X
Family Nurse Practitioner
Primary
5867
CT

Other

Enumeration date
07/18/2014
Last updated
09/17/2015
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