Individual
MECHTHILD SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, SUITE 2A38, WASHINGTON, DC 20010-2976
(202) 877-0218
Mailing address
110 IRVING ST NW, SUITE 2A38, WASHINGTON, DC 20010-2976
(202) 877-0218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN960691
DC
363LG0600X
Gerontology Nurse Practitioner
Primary
RN960691
DC
Other
Enumeration date
05/19/2006
Last updated
10/25/2021
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