Carolyn Sullivan, AC PNP

Individual Active
NPI 1225306269
Critical Care Pediatric Nurse Practitioner Springfield, MO

NPI 1225306269 belongs to Carolyn Sullivan, AC PNP, a critical care pediatric nurse practitioner with a practice location in Springfield, MO. The NPI was issued on December 5, 2011, and the record was last updated in NPPES on November 19, 2015. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2015. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X 2015003901 (MO)
Critical Care Pediatric Nurse Practitioner 363LP0222X 209009257 (IL)

Practice location

3231 S National Ave
Suite 115
Springfield, MO 65807-7304
Phone: (417) 885-0824

Local context

Active NPPES records list 1 provider with critical care pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 49 in Missouri and 1,209 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Carolyn Anne Sullivan
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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