KELLY ELIZABETH SULLIVAN AGNP-C NPI 1427549088

NPI Information

NPI: 1427549088
Provider Name: KELLY ELIZABETH SULLIVAN, AGNP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
428 HARTFORD TPKE STE 207
VERNON, CT
ZIP 06066
Phone: (860) 872-5426
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Kelly Elizabeth Sullivan, AGNP-C is a primary care nurse practitioner in Vernon, CT. Kelly Elizabeth Sullivan, AGNP-C NPI is 1427549088. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

428 HARTFORD TPKE STE 207
VERNON, CT
ZIP 06066-841
Phone: (860) 872-5426

The NPI 1427549088 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2018 and was last updated on 5/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	390200000X	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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