Individual
TINA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
186 GRANITE ST FL 3, MANCHESTER, NH 03101-2643
(603) 831-3823
Mailing address
65 PLEASANT ST, ANTRIM, NH 03440-3405
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
08915321
NH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
08915321
NH
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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