Individual provider · Type 1 NPI
Kelly Sullivan, CRNP
Family Nurse Practitioner · Warren, PA
NPI number
1114392735
Active
Practice location
2 W Crescent Park
Warren, PA 16365-2111
Fax (814) 726-9412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | SP015625 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | SP015625 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114392735
Kelly Sullivan, CRNP's National Provider Identifier is 1114392735, issued on Dec 8, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Warren, PA. The record was last updated on Oct 3, 2018.