Individual
MOLLY AMBLER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-3381
Mailing address
309 ROCK CREEK CHURCH RD NW, WASHINGTON, DC 20011-6003
(303) 263-5196
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1019709
DC
Other
Enumeration date
02/05/2017
Last updated
10/30/2018
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