Katie Jo Sullivan, NP Valid NPI
Individual provider · Family Nurse Practitioner · Easton, MD
- NPI
- 1649524059
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- R166423 (MD)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-11-07
- Last updated
- 2024-11-06
Practice location
8579 Commerce Dr Ste 104
Easton, MD 21601-7420
(410) 822-9133