Sullivan, Carolyn Anne

Sullivan, Carolyn Anne is an individual health care provider with primary practice located at 3231 S National Ave Suite 115, Springfield MO 65807-7304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Sullivan, Carolyn Anne can be contacted via phone (417) 885-0824.

Contact Information

Primary practice address
3231 S National Ave Suite 115 Springfield MO 65807-7304
Fax: (417) 890-4174
Website:

Health care specialties

Profile Details

NPI number 1225306269
LBN Legal business name Sullivan, Carolyn Anne
Credentials AC PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2011
Last updated Nov 19th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225306269 NPPES
Missouri MEDICAID 1225306269

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