Individual
MRS. HOLLY NICOLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
544 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3400
(513) 221-1100
(859) 341-3913
Mailing address
PO BOX 643398, CINCINNATI, OH 45264-3398
(513) 221-1100
(513) 569-5297
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.026498
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.4015060
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.026498
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.4015060
KY
Other
Enumeration date
03/10/2020
Last updated
02/12/2024
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