Individual
MS. ANN MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
530 GREEN ST, ISELIN, NJ 08830-2654
(732) 371-4400
Mailing address
530 GREEN ST, ISELIN, NJ 08830-2654
(732) 371-4400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00455100
NJ
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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