Individual
EMILY K SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
380 LAFAYETTE RD, HAMPTON, NH 03842-2222
(603) 926-0088
(603) 926-2853
Mailing address
1 PARKLAND DR, DERRY, NH 03038-2746
(603) 926-0088
(603) 926-2853
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0665
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30337021
—
NH
Enumeration date
06/23/2008
Last updated
06/19/2012
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