Individual
SCOTT M SULLIVAN-CONGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
250 PLEASANT ST # 5-WEST, CONCORD, NH 03301-7559
(603) 227-7000
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
(603) 226-7505
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
067867-23
NH
Other
Enumeration date
07/26/2018
Last updated
08/09/2022
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