Individual
SABRA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
103 MYRON ST, SUITE A, WEST SPRINGFIELD, MA 01089-1598
(413) 592-1980
(413) 439-0100
Mailing address
90 UNDINE RD, APT. 1, BRIGHTON, MA 02135-3812
(508) 951-6632
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN284172
MA
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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