Individual
KARLI SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2934
(207) 662-6389
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2934
(207) 662-6389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2826
ME
363AS0400X
Surgical Physician Assistant
25MP00790300
NJ
363AS0400X
Surgical Physician Assistant
Primary
PA2826
ME
Other
Enumeration date
06/22/2023
Last updated
05/13/2026
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