Individual
NANCY PETERS SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
87 PAINE MOUNTAIN DR, NORTHFIELD, VT 05663-5791
(802) 485-4161
(802) 485-4163
Mailing address
PO BOX 547, ATT: CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 485-4161
(802) 485-4163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60249847
WA
Other
Enumeration date
02/15/2013
Last updated
10/21/2015
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