KELLY ELIZABETH SULLIVAN

VERNON, CT
NPI1427549088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CT  390200000X)
Enumeration Date2018-05-19
Last Update Date2018-05-19
Business Address
KELLY ELIZABETH SULLIVAN AGNP-C
428 HARTFORD TPKE STE 207
VERNON, CT 06066-4841
Phone number: 860-872-5426
Mailing Address
KELLY ELIZABETH SULLIVAN AGNP-C
428 HARTFORD TPKE STE 207
VERNON, CT 06066-4841
Phone number: