Individual
JEAN KISZKA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7934
(561) 737-7733
Mailing address
11913 DUNES RD, BOYNTON BEACH, FL 33436-5507
(561) 733-4705
(561) 733-4691
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2754372
FL
Other
Enumeration date
06/09/2006
Last updated
03/14/2010
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