Provider Demographics
NPI:1265862007
Name:O'SULLIVAN, MARIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:O'SULLIVAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11875 S SUNSET DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-2793
Mailing Address - Country:US
Mailing Address - Phone:913-826-1239
Mailing Address - Fax:913-826-1300
Practice Address - Street 1:11875 S SUNSET DR
Practice Address - Street 2:SUITE 300
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-2793
Practice Address - Country:US
Practice Address - Phone:913-826-1239
Practice Address - Fax:913-826-1300
Is Sole Proprietor?:No
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-115545-111163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse