Individual provider · Type 1 NPI

Mikaelyn Sullivan

Family Nurse Practitioner · Dallas, TX

NPI number 1154918092 Active

Practice location

4055 Valley View Ln Ste 400
Dallas, TX 75244-5071

Mailing address

940 Central Park Dr, Ste 101
Steamboat Springs, CO 80487-8853

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPN.0996096-NP (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1154918092

Mikaelyn Sullivan's National Provider Identifier is 1154918092, issued on Dec 27, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Nov 23, 2021.