COLLEEN P SULLIVAN

KANSAS CITY, MO
NPI1316905938
Other NameCOLLEEN PATRICIA SULLIVAN-RUSSO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MO  097147)
Additional Taxonomies363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: KS  1405842052)
Enumeration Date2006-05-03
Last Update Date2007-07-08
Business Address
COLLEEN P SULLIVAN MSN CS C AP MHCNS AP
10918 ELM AVENUE CRITTENTON CHILDRENS CENTER
KANSAS CITY, MO 64134
Phone number: 816-765-6600
Mailing Address
COLLEEN P SULLIVAN MSN CS C AP MHCNS AP
329 NW ROCKHILL LN
LEES SUMMIT, MO 64081
Phone number: 816-525-9787