Individual
STEPHANIE SCHROOT SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
42 NASHUA ROAD, LONDONDERRY, NH 03053
(603) 413-6800
(603) 413-6803
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
080033-23
NH
363L00000X
Nurse Practitioner
229133
MA
363LF0000X
Family Nurse Practitioner
Primary
080033-23
NH
363LS0200X
School Nurse Practitioner
229133
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085815A
—
MA
05
—
3126816
—
NH
Enumeration date
02/05/2007
Last updated
01/17/2024
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