Individual provider · Type 1 NPI

Katie Michelle Sullivan, NP

Nurse Practitioner · Silver Spring, MD

NPI number 1558970251 Active

Practice location

8630 Fenton St Ste 1200
Silver Spring, MD 20910-3808

Fax (301) 495-0318

Mailing address

8630 Fenton St Ste 1204
Silver Spring, MD 20910-3808

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR240224 (MD)

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 1558970251

Katie Michelle Sullivan, NP's National Provider Identifier is 1558970251, issued on Jul 28, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Silver Spring, MD. The record was last updated on Jul 28, 2020.