Individual
MARY C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1508 PENNSYLVANIA AVE STE 2A, WILMINGTON, DE 19806-4339
(302) 468-4500
Mailing address
1508 PENNSYLVANIA AVE STE 2A, WILMINGTON, DE 19806-4339
(302) 468-4500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L10030437
DE
Other
Enumeration date
01/19/2006
Last updated
09/01/2021
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