Individual provider · Type 1 NPI

Katie Marie Sullivan, NP

Nurse Practitioner · East Lansing, MI

NPI number 1801533864 Active

Practice location

4650 S Hagadorn Rd Ste 100
East Lansing, MI 48823-5386

Fax (517) 355-2134

Mailing address

804 Service Rd Ste A202
East Lansing, MI 48824-7015

Other practice locations

  • 1540 Lake Lansing Rd Ste G6, Lansing, MI 48912-3757 · (517) 482-7246

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704327523 (MI)
Nurse Practitioner Primary 363L00000X4704327523 (MI)

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 1801533864

Katie Marie Sullivan, NP's National Provider Identifier is 1801533864, issued on May 19, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Lansing, MI. The record was last updated on Nov 27, 2023.