MARY SULLIVAN, PCNS

Nurse Practitioner - Gerontology

Active Individual
NPI: 1386662484

Practice Address

50 MAUDE ST
Providence, RI 02908

Phone: (401) 456-2000

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No PPNS00073 (RI)
Nurse Practitioner - Gerontology 363LG0600X Yes 21544 (CA)

Frequently Asked Questions

NPI 1386662484 is the National Provider Identifier for MARY SULLIVAN, PCNS, a Nurse Practitioner - Gerontology provider located in Providence, RI. This NPI was enumerated on July 17, 2006.
MARY SULLIVAN, PCNS practices at 50 MAUDE ST, Providence, RI 02908.

Quick Facts

NPI
1386662484
Type
Individual
Enumerated
Jul 17, 2006
Last Updated
Feb 2, 2012

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