Individual
MRS. ANNA ROSE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 MAPLECREST DR, SOUTHBOROUGH, MA 01772-1241
(508) 481-3845
Mailing address
18 MAPLECREST DR, SOUTHBOROUGH, MA 01772-1241
(508) 481-3845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2260715
MA
363LF0000X
Family Nurse Practitioner
RN2260715
MA
Other
Enumeration date
01/22/2017
Last updated
11/12/2019
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