Individual
DR. MARI CATHERINE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, MSN, ARNP-C
Contact information
Practice address
PORT GAMBLE S'KLALLAM TRIBE COMMUNITY HEALTH, 32020 LITTLE BOSTON RD NE, KINGSTON, WA 98346
(360) 297-2840
(360) 925-3897
Mailing address
32020 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9734
(360) 297-2840
(360) 925-3897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP30001946
WA
363LF0000X
Family Nurse Practitioner
AP300001946
WA
Other
Enumeration date
12/05/2006
Last updated
08/23/2024
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