Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ELIZABETH SULLIVAN, AGNP-C
Active Sole ProprietorKELLY ELIZABETH SULLIVAN, AGNP-C is a Primary Care Nurse Practitioner healthcare provider located in VERNON, Connecticut. NPI 1427549088 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · VERNON, CT
Registration Details
- NPI Number
- 1427549088
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2018 (8.2030062289022 yrs)
- Last Updated
- May 19, 2018
- License
-
390200000X (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
428 HARTFORD TPKE STE 207VERNON, CT, 060664841Browse CT providers · Browse ZIP 06066
- Phone
- 8608725426
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in VERNON, CT
| Name | Credential | NPI |
|---|---|---|
| GENEVIEVE UFONGENE | NURSE PRACTITIONER | 1396556494 |
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.