Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNETTE NICHOLE SULLIVAN, M.D.
ActiveANNETTE NICHOLE SULLIVAN, M.D. is a Obesity Medicine healthcare provider located in MANKATO, Minnesota. NPI 1316328719 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · MANKATO, MN
Registration Details
- NPI Number
- 1316328719
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2015 (11.200269162707 yrs)
- Last Updated
- Jun 10, 2025
- Licenses
-
71763 (MN)125066220 (IL)71763 (MN)
Practice Information
- Address
-
1025 MARSH STMANKATO, MN, 560014752Browse MN providers · Browse ZIP 56001
- Phone
- 5076254031
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Obesity Medicine
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.