Individual provider · Type 1 NPI

Elise Sullivan

Family Nurse Practitioner · St. Louis, MO

NPI number 1932750874 Active

Practice location

3635 Vista Ave
St. Louis, MO 63110-2539

Mailing address

2763 Tiara Dr
Arnold, MO 63010-3027

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2019044085 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1932750874

Elise Sullivan's National Provider Identifier is 1932750874, issued on Sep 23, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 6, 2024.