Casey Sullivan, FNP

Family Nurse Practitioner · Provo, UT

Individual Active NPI

NPI number 1578670840

Practice location

1055 N 300 W
Ste 108
Provo, UT 84604-3381
Phone
(801) 357-7377
Fax
(801) 357-7378

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NPI record

NPI
1578670840
Entity type
Individual (Type 1)
Enumeration date
August 24, 2006
Last updated
July 31, 2023
Certified
July 31, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Family Nurse Practitioner Primary 363LF0000X 7344974-4405 UT
Family Nurse Practitioner 363LF0000X 167224 CO

Mailing address

1055 N 300 W
Suite 108
Provo, UT 84604-3381
Phone
(801) 357-7377
Fax
(801) 357-7378

About Casey Sullivan

Casey Sullivan, FNP is a healthcare provider registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 1055 N 300 W, Ste 108, Provo, UT 84604-3381. The NPI number 1578670840 was assigned on August 24, 2006 and the record was last updated on July 31, 2023.

Casey Sullivan lists 2 licenses in the registry: #7344974-4405 (UT) for Family Nurse Practitioner; #167224 (CO) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Casey Sullivan, FNP?

The NPI number is 1578670840.

What is the phone number of Casey Sullivan?

The phone number listed for the practice location is (801) 357-7377.

Where is Casey Sullivan located?

1055 N 300 W, Ste 108, Provo, UT 84604-3381.

What is the taxonomy code for Casey Sullivan?

The primary taxonomy code is 363LF0000X – Family Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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