Provider Demographics
NPI:1568677763
Name:SULLIVAN, HELEN K (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:K
Last Name:SULLIVAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
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Mailing Address - Street 1:5950 S DETROIT ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2808
Mailing Address - Country:US
Mailing Address - Phone:303-960-9596
Mailing Address - Fax:720-482-1990
Practice Address - Street 1:6041 S SYRACUSE WAY
Practice Address - Street 2:#220
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4771
Practice Address - Country:US
Practice Address - Phone:720-482-1988
Practice Address - Fax:720-482-1990
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO96025363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner