Individual
MS. ANNE MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-3311
Mailing address
12 SHADY LANE DR, WILMINGTON, MA 01887-1937
(978) 610-2165
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
181702
MA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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