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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CAROLYN ANNE SULLIVAN, AC PNP

Active

MRS. CAROLYN ANNE SULLIVAN, AC PNP is a Pediatric Critical Care Nurse Practitioner healthcare provider located in SPRINGFIELD, Missouri. NPI 1225306269 is currently active in the NPPES registry. Verify at CMS.

Pediatric Critical Care Nurse Practitioner · SPRINGFIELD, MO

Registration Details

NPI Number
1225306269
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2011 (14.722906921979 yrs)
Last Updated
Nov 19, 2015
Licenses
209009257 (IL)
2015003901 (MO)

Practice Information

Address
3231 S NATIONAL AVE
SUITE 115
SPRINGFIELD, MO, 658077304
Browse MO providers · Browse ZIP 65807
Phone
4178850824
Fax
4178904174
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.