person
Mrs. Carolyn Anne Sullivan, ACPNP
Critical Care Pediatric Nurse Practitioner in Springfield, Missouri
NPI 1225306269

Carolyn Anne Sullivan is a Critical Care Pediatric Nurse Practitioner based in Saint Louis, MO and is specialized in Pediatrics, Critical Care. Carolyn Anne Sullivan practices in Springfield, MO and has the professional credentials of ACPNP. The NPI Number for Carolyn Anne Sullivan is 1225306269 and holds a License No. 209009257 (Missouri).

The current practice location address for Carolyn Anne Sullivan is 3231 S National Ave, Springfield, MO and can be reached out via phone at 417-885-0824 and via fax at 417-890-4174.

Location: 3231 S National Ave, Springfield, MO, 63150-5164
person
Provider Profile Details
NPI Number
1225306269
Provider Name
Carolyn Anne Sullivan
Credential
ACPNP
Provider Entity Type
Individual
Gender
Female
Address
3231 S National Ave, Springfield, MO, 63150-5164
Phone Number
417-885-0824
Fax Number
417-890-4174
Provider Enumeration Date
12/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225306269 05 MO
institution
Provider Business Practice Location Address Details
Address
3231 S National Ave
City
State
Zip
65807-7304
Phone Number
417-885-0824
Fax Number
417-890-4174
person
Provider Business Mailing Address Details
Address
3231 S National Ave
City
State
Zip
65807-7304
Phone Number
417-885-0824
Fax Number
417-890-4174
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
209009257 (Illinois)
Definition
Definition to come...
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