Individual
MS. PATRICIA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 W 6TH ST, DELTA, CO 81416-1626
(970) 874-2165
(970) 874-2175
Mailing address
255 W 6TH ST, DELTA, CO 81416-1626
(970) 874-2165
(970) 874-2175
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
2050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07020506
—
CO
Enumeration date
02/22/2008
Last updated
03/06/2008
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