Individual
BARBARA G. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
326 NICHOLS ROAD, FITCHBURG, MA 01420
(978) 878-8100
(978) 878-8537
Mailing address
326 NICHOLS ROAD, FITCHBURG, MA 01420
(978) 878-8100
(978) 878-8537
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
157499
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1319833
—
MA
01
—
221845
UGS
MA
01
—
NP0755
BC PIN
MA
Enumeration date
07/05/2006
Last updated
08/17/2015
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