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Individual

CHERYL A. SULLIVANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R. N. B.S.N.

Contact information

Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 328-4600
Mailing address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 328-4600

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
13-31706-102
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098080A
KS
01
100098080C
SED WAIVER
KS
Enumeration date
12/05/2006
Last updated
10/02/2008
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