KATHLEEN SULLIVAN

BOISE, ID
NPI1063236099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  1971939)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  2024095727)
Enumeration Date2024-11-15
Last Update Date2024-11-27
Business Address
KATHLEEN SULLIVAN
1075 E PARK BLVD
BOISE, ID 83712-7722
Phone number: 208-381-5970
Mailing Address
KATHLEEN SULLIVAN
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: