Individual
SHARA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 DUNHAM RD, FARMINGTON, ME 04938-6048
(207) 860-2660
Mailing address
117 DUNHAM RD, FARMINGTON, ME 04938-6048
(207) 860-2660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN57673
ME
Other
Enumeration date
07/05/2017
Last updated
08/24/2017
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