Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KANDIS KAY SULLIVAN
ActiveMRS. KANDIS KAY SULLIVAN is a Primary Care Nurse Practitioner healthcare provider located in TOMAH, Wisconsin. NPI 1861714917 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · TOMAH, WI
Registration Details
- NPI Number
- 1861714917
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 17, 2010 (16.504164446454 yrs)
- Last Updated
- Jul 19, 2016
- Licenses
-
108168-030 (WI)3857-33 (WI)
Practice Information
- Address
-
500 E VETERANS STTOMAH, WI, 546603105Browse WI providers · Browse ZIP 54660
- Phone
- 6083723971
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in TOMAH, WI
| Name | Credential | NPI |
|---|---|---|
| JACQUELINE KAY KUENNEN | — | 1508007980 |
| BRITTANY CESSFORD | NP | 1912770637 |
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.