Nicholas C Sullivan, NP
Nurse Practitioner, Acute Care in Englewood, CO. Individual provider (NPI-1).
NPI number1154745784
StatusActive
Last updated in NPPESJun 4, 2020
Details
- NPI
- 1154745784
- Entity type
- Individual (NPI-1)
- Name
- Nicholas C Sullivan
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2014
- Certification date
- Jun 4, 2020
- Last updated
- Jun 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | APN.0991074-NP | CO | Yes |
Practice location
501 E Hampden AveEnglewood, CO 80113-2702
Phone 303-761-9190 · Fax 720-874-4462
Mailing address
Po Box 17528Denver, CO 80217-0528
Phone 303-306-7783 · Fax 303-306-7753
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