Individual
KRISTEN D. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD., CCC-A
Contact information
Practice address
3 ALLDS ST, NASHUA, NH 03060-4711
(603) 880-0090
Mailing address
3 ALLDS ST, NASHUA, NH 03060-4711
(603) 880-0090
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
639
MA
231H00000X
Audiologist
Primary
A4
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5103223
—
MA
Enumeration date
07/07/2006
Last updated
03/27/2018
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