SearchMissouri363LP0222X

Carolyn Sullivan, AC PNP

NPI 1225306269 · on the registry since 2011

Practice

Address
3231 S National Ave
Suite 115
Springfield, MO 65807
Phone
(417) 885-0824
Fax
(417) 890-4174
Organisation at this address
Mercy Hospital Springfield
Mercy Hospital Springfield
Mercy Pharmacy Services, Llc
St. John'S Regional Health Center
Heady & Pham Advanced Eyecare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
130

Registry record

Primary taxonomy
363LP0222X
363LP0222X
Also registered as
363LP0222X
Licence states on file
IL, MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri