Individual
MARY KATHERINE O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 798-9213
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3290436
NY
363LA2100X
Acute Care Nurse Practitioner
AP61441998
WA
Other
Enumeration date
08/31/2020
Last updated
05/05/2025
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