Individual
BRIDGET SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 ELM ST, GLENS FALLS, NY 12801-3670
(518) 793-7273
Mailing address
31 SIERRA ST, GLENS FALLS, NY 12801-3211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
689648-01
NY
Other
Enumeration date
01/06/2020
Last updated
07/06/2021
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