Individual
MS. ELAINE MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
17 SILVER HILL RD, ACTON, MA 01720-4227
(978) 263-8989
Mailing address
17 SILVER HILL RD, ACTON, MA 01720-4227
(978) 263-8989
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
195410
MA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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