Individual
MS. MARGARET M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
289 COUNTY RD, MT. ASCUTNEY HOSPITAL, WINDSOR, VT 05089-9000
(802) 674-6711
Mailing address
289 COUNTY RD, MT. ASCUTNEY HOSPITAL, WINDSOR, VT 05089-9000
(802) 674-6711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
025118-23-05
NH
363LA2200X
Adult Health Nurse Practitioner
0091190
VT
363LA2200X
Adult Health Nurse Practitioner
025118-23-05
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343421
—
MA
Enumeration date
03/29/2006
Last updated
12/08/2012
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