Sullivan, Karen A

Sullivan, Karen A is an individual health care provider with primary practice located at 700 Mount Hope Ave Suite 210, Bangor ME 04401-5691. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sullivan, Karen A can be contacted via phone (207) 907-3030.

Contact Information

Primary practice address
700 Mount Hope Ave Suite 210 Bangor ME 04401-5691
Phone: (207) 907-3030
Fax: (207) 907-3031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM82012 Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP121054 Maine

Profile Details

NPI number 1245259134
LBN Legal business name Sullivan, Karen A
Credentials CNM, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 18th, 2024 - 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 1245259134 NPPES
Maine MEDICAID 404090099

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