Individual provider · Type 1 NPI

Katie Halleran Sullivan, NP

Nurse Practitioner · Spokane, WA

NPI number 1336784628 Active

Practice location

1001 W 2nd Ave
Spokane, WA 99201-4503

Fax (509) 444-7806

Mailing address

611 N Iron Bridge Way
Spokane, WA 99202-4932

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP60997775 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336784628

Katie Halleran Sullivan, NP's National Provider Identifier is 1336784628, issued on Nov 11, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Spokane, WA. The record was last updated on Feb 17, 2025.