Sullivan, Kristine

Sullivan, Kristine is an individual health care provider with primary practice located at 101 Dates Dr , Ithaca NY 14850-1342. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Sullivan, Kristine can be contacted via phone (607) 274-4011.

Contact Information

Primary practice address
101 Dates Dr Ithaca NY 14850-1342
Phone: (607) 274-4011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F345036 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 345036 New York

Profile Details

NPI number 1336799899
LBN Legal business name Sullivan, Kristine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2019
Last updated Sep 21st, 2021 - about 3 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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