Individual
LAURA D SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 679-3131
Mailing address
53 TALLAWANDA RD, STE. 670, SWANSEA, MA 02777-1206
(508) 567-1969
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
001968
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
256715
MA
Other
Enumeration date
08/02/2005
Last updated
09/22/2016
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