Individual
MARY M OSULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1701 N GEORGE MASON DR # 2D, ARLINGTON, VA 22205-3610
(703) 558-5000
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166219
VA
Other
Enumeration date
07/02/2006
Last updated
09/18/2007
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