Individual
ABIGAIL J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
276 NEWPORT RD # 107, NEW LONDON, NH 03257
(603) 526-4144
Mailing address
276 NEWPORT RD # 107, NEW LONDON, NH 03257-5468
(603) 526-4144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
074008-21
NH
363LF0000X
Family Nurse Practitioner
Primary
074008-23
NH
Other
Enumeration date
06/15/2023
Last updated
11/20/2023
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