Sullivan, Kristen T

Sullivan, Kristen T is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Sullivan, Kristen T can be contacted via phone (602) 933-2693.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Phone: (602) 933-2693
Fax: (602) 933-2697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X RN159067 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP3435 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X AP3435 Arizona

Profile Details

NPI number 1366675563
LBN Legal business name Sullivan, Kristen T
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2009
Last updated Mar 29th, 2018 - about 6 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 1366675563 NPPES
Arizona MEDICAID 471784

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