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NPI Code Detail

MEDICARE: ANN SULLIVAN NP

MEDICARE: ANN SULLIVAN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNPP37232RI

General Provider Information

NPI Number : 1881627610
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN SULLIVAN NP
Provider Business Mailing Address
First Line : 105 WEBSTER ST
Second Line : STE 8
City : HANOVER
State : MA
Zip : 02339-1227
Country : US
Telephone Number : 781-754-6545
Fax Number : 781-536-0016
Provider Business Practice Location Address
First Line : 105 WEBSTER ST
Second Line : STE 8
City : HANOVER
State : MA
Zip : 02339-1227
Country : US
Telephone Number : 781-754-6545
Fax Number : 781-536-0016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 04/13/2023

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Directions to “ ANN SULLIVAN NP” Practice Location

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