Individual provider · Type 1 NPI

Kimberly Evette Sullivan, RN, BSN

Registered Nurse · St. Louis, MO

NPI number 1306170675 Active

Practice location

915 N Grand Blvd
St. Louis, MO 63106-1621

Mailing address

7 Ipswich Ct
Florissant, MO 63033-4816

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2009027569 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1306170675

Kimberly Evette Sullivan, RN, BSN's National Provider Identifier is 1306170675, issued on Sep 19, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 19, 2009.