Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristen Rudick Sullivan, RN, MSN, CRNP

Individual provider Nurse Practitioner · NPI 1710255021

Kristen Rudick Sullivan, RN, MSN, CRNP is a Nurse Practitioner in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-8765
Fax: (774) 443-7360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN284023 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN284023 (MA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN284023 (MA)

Record details

NPI number1710255021
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MSN , CRNP
Sole proprietorNo
NPI enumeratedDecember 1, 2011
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

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