Individual
JULIE A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHCNS-BC
Contact information
Practice address
72 HARREL ST, MORRISVILLE, VT 05661-8526
(802) 888-5026
(802) 888-6393
Mailing address
72 HARREL ST, MORRISVILLE, VT 05661-8526
(802) 888-5026
(802) 888-6393
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101-0025249
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00049858
BC/BS OF VT
VT
05
—
0NS2022
—
VT
01
—
2158131
CIGNA
VT
01
—
360340
TRICARE
VT
Enumeration date
07/27/2006
Last updated
04/26/2016
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