Individual provider · Type 1 NPI
Casey Sullivan, FNP
Family Nurse Practitioner · Provo, UT
NPI number
1578670840
Active
Practice location
1055 N 300 W, Ste 108
Provo, UT 84604-3381
Fax (801) 357-7378
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 167224 (CO) |
| Family Nurse Practitioner Primary | 363LF0000X | 7344974-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1578670840
Casey Sullivan, FNP's National Provider Identifier is 1578670840, issued on Aug 24, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Provo, UT. The record was last updated on Jul 31, 2023.