Individual
PATRICE NICHOLE O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(133) 993-3222
Mailing address
23 SPENCE AVE APT 1, QUINCY, MA 02169-8050
(339) 933-2226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2312872
MA
363L00000X
Nurse Practitioner
Primary
RN2312872
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110142760A
—
MA
Enumeration date
07/27/2018
Last updated
07/29/2019
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