Doctor Name: | MRS. PATRICIA L. SULLIVAN |
NPI Number: | 1023182789 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 45489 |
Business Practice Address: | 1 Medical Center Circle Suite C Pittsburg, KS - 66762 |
Business Phone Number: | 6202318849 |
Business Fax Number: | 6202318847 |
Mailing Address: | 1 Medical Center Circle, Suite C PITTSBURG |
State: | KS |
Postal Code: | 66762 |
Phone Number: | 6202318849 |
Fax Number: | 6202318847 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 45489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |