Sullivan, Kathryn Ann

Sullivan, Kathryn Ann is an individual health care provider with primary practice located at 1095 Marshall Way 2Nd Floor, Placerville CA 95667-5722. 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, Kathryn Ann can be contacted via phone (530) 626-6155.

Contact Information

Primary practice address
1095 Marshall Way 2Nd Floor Placerville CA 95667-5722
Phone: (530) 626-6155
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP265192 California

Profile Details

NPI number 1174791743
LBN Legal business name Sullivan, Kathryn Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2008
Last updated Feb 13th, 2012 - about 14 years ago

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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