CASEY SULLIVAN

PROVO, UT
NPI1578670840
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  7344974-4405)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CO  167224)
Enumeration Date2006-08-24
Last Update Date2023-07-31
Business Address
CASEY SULLIVAN FNP
1055 N 300 W STE 108
PROVO, UT 84604-3381
Phone number: 801-357-7377
Mailing Address
CASEY SULLIVAN FNP
1055 N 300 W SUITE 108
PROVO, UT 84604-3381
Phone number: 801-357-7377