Kathleen M Sullivan, CRNP
NPI #1972968022 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1972968022
- Entity Type
- Individual
- Name
- Kathleen M Sullivan, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CRNP
- Enumeration Date
- Dec 16, 2015
- Last Updated
- Feb 15, 2016
Practice Location
- Address
- 3400 SPRUCE ST
- Address 2
- RHOADS 5
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19104-4238
- Phone
- (215) 662-6574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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