Individual provider · Type 1 NPI

Kathleen Lea Sullivan, APRN

Family Nurse Practitioner · Waterbury, CT

NPI number 1811204985 Active

Practice location

134 Grandview Ave, 208
Waterbury, CT 06708-2507

Fax (203) 755-3057

Mailing address

134 Grandview Ave Ste 208
Waterbury, CT 06708-2507

Other practice locations

  • 123 S Main St Ste 110B, Newtown, CT 06470-5313 · (203) 770-5963

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X004478 (CT)
Family Nurse Practitioner Primary 363LF0000X4478 (CT)

Family Nurse Practitioner: Definition to come...

42 other providers at this address

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About NPI 1811204985

Kathleen Lea Sullivan, APRN's National Provider Identifier is 1811204985, issued on Sep 9, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waterbury, CT. The record was last updated on Jul 24, 2026.