Individual
MS. ABBEY ROSE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
85 HIGH ST, MEDFORD, MA 02155-3825
(663) 892-7278
Mailing address
85 HIGH ST, MEDFORD, MA 02155-3825
(617) 244-0858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
113823-23
NH
363L00000X
Nurse Practitioner
4035992
KY
363L00000X
Nurse Practitioner
53-84146-101
KS
363L00000X
Nurse Practitioner
CNP251152
ME
363LF0000X
Family Nurse Practitioner
0039137
OH
363LF0000X
Family Nurse Practitioner
11038098
FL
363LF0000X
Family Nurse Practitioner
Primary
2311788
MA
363LF0000X
Family Nurse Practitioner
LG-0013520
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2021
Last updated
03/23/2026
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