Individual
LOUISE J. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
10 LANGLEY RD, NEWTON, MA 02459-1972
(800) 770-3651
(860) 510-0020
Mailing address
10 LANGLEY RD, NEWTON, MA 02459-1972
(800) 770-3651
(860) 510-0020
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
211116
MA
Other
Enumeration date
01/04/2007
Last updated
04/02/2009
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