Individual provider · Type 1 NPI
Kristine Sullivan, NP
Nurse Practitioner · Ithaca, NY
Practice location
101 Dates Dr
Ithaca, NY 14850-1342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F345036 (NY) |
| Nurse Practitioner Primary | 363L00000X | 345036 (NY) |
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 1336799899
Kristine Sullivan, NP's National Provider Identifier is 1336799899, issued on Sep 17, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ithaca, NY. The record was last updated on Sep 21, 2021.