Kathleen M. Sullivan, APRN
NPI #1306095955 in Lago Vista, Texas
Provider Information
- NPI Number
- 1306095955
- Entity Type
- Individual
- Name
- Kathleen M. Sullivan, APRN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- APRN
- Enumeration Date
- Sep 18, 2008
- Last Updated
- Sep 11, 2018
Practice Location
- Address
- 20511 SUNSET LN
- City
- Lago Vista
- State
- Texas
- ZIP Code
- 78645-6245
- Phone
- (860) 460-1211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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