Individual
MARISA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
301 E 17TH ST, NEW YORK, NY 10003-3804
(212) 263-5230
Mailing address
1 FEDERAL STREET, SUITE 200, CAMDEN, NJ 08103
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ00615100
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
431368
NY
Other
Enumeration date
02/03/2016
Last updated
10/14/2020
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