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Individual

ERIN CATHERINE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
12 INGALLS CT, METHUEN, MA 01844-3712
(978) 686-2807
Mailing address
100 CUMMINGS CTR STE 166, BEVERLY, MA 01915-6135
(978) 712-3360

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2310113
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN2310113
OTHER
MA
Enumeration date
12/16/2019
Last updated
10/02/2023
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