Individual
KERI J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CPNP
Contact information
Practice address
300 LONGWOOD AVE, 9 SOUTH, BOSTON, MA 02115-5724
(617) 355-0943
(617) 730-0795
Mailing address
300 LONGWOOD AVE, 9 SOUTH, BOSTON, MA 02115-5724
(617) 355-0943
(617) 730-0795
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
252927
MA
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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