Individual
SANDRA JEAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1976 WHITE MOUNTAIN HWY STE 105, NORTH CONWAY, NH 03860-5147
(603) 356-4940
Mailing address
1976 WHITE MOUNTAIN HWY STE 105, NORTH CONWAY, NH 03860-5147
(603) 356-4940
(603) 371-3250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3056
NH
363AM0700X
Medical Physician Assistant
Primary
3056
NH
Other
Enumeration date
01/15/2007
Last updated
01/08/2026
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