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Individual

CAROLE E SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
201 PERRY PARKWAY SUITE 5, GAITHERSBURG, MD 20877
(240) 801-8686
Mailing address
3719 GELDERLAND CT, OLNEY, MD 20832
(240) 277-0899

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R191548
MD

Other

Enumeration date
09/21/2018
Last updated
11/04/2021
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