Individual
MS. JEANNE M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(303) 360-1112
Mailing address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(303) 360-1112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
110724
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009812
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/22/2007
Last updated
07/18/2007
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