Individual provider · Type 1 NPI
Susan M. Sullivan, FNP
Adult Health Nurse Practitioner · Ballwin, MO
NPI number
1679900757
Active
Practice location
15945 Clayton Rd Ste 120A
Ballwin, MO 63011-2490
Fax (636) 256-5043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2013039392 (MO) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other adult health nurse practitioner providers in Ballwin
- Catherine Dolphin Smith, NPAdult Health Nurse Practitioner Ballwin, MO NPI 1336629641
- Kimberly Marie Wickline, AGNPAdult Health Nurse Practitioner Ballwin, MO NPI 1376200733
- Mary Elizabeth Malen, N.P.Adult Health Nurse Practitioner Ballwin, MO NPI 1386784676
- Lori SniatkewiczAdult Health Nurse Practitioner Ballwin, MO NPI 1477146207
- Julie May Stout, ANP-BCAdult Health Nurse Practitioner Ballwin, MO NPI 1639209745
- Georgiana NchotebahAdult Health Nurse Practitioner Ballwin, MO NPI 1952753949
About NPI 1679900757
Susan M. Sullivan, FNP's National Provider Identifier is 1679900757, issued on Oct 3, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Ballwin, MO. The record was last updated on Feb 10, 2026.