Individual
KAREN D SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
375 EAST CENTER STREET, MANCHESTER, CT 06040
(860) 646-0166
(860) 643-7574
Mailing address
PO BOX 3249, 29 NAEK RD SUITE 5, VERNON, CT 06066
(860) 896-1422
(860) 896-1425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
001637
CT
363LF0000X
Family Nurse Practitioner
Primary
001637
CT
Other
Enumeration date
07/13/2005
Last updated
02/23/2015
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