Individual
MICHELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
Mailing address
148 WARREN ST, LOWELL, MA 01852-2208
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN211810
MA
163WM0102X
Maternal Newborn Registered Nurse
RN211810
MA
163WP0200X
Pediatric Registered Nurse
RN211810
MA
163WX0003X
Inpatient Obstetric Registered Nurse
RN211810
MA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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