Sullivan, Brenda L

Sullivan, Brenda L is an individual health care provider with primary practice located at 400 S Santa Fe Ave , Salina KS 67401-4144. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sullivan, Brenda L can be contacted via phone (785) 452-7742.

Contact Information

Primary practice address
400 S Santa Fe Ave Salina KS 67401-4144
Phone: (785) 452-7742
Fax: (785) 452-7256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-76423 Kansas

Profile Details

NPI number 1114324886
LBN Legal business name Sullivan, Brenda L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2014
Last updated Jan 28th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114324886 NPPES
Kansas MEDICAID 30004048810001

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