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Individual

MS. DOROTHY A SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
784 CENTRAL AVE, DOVER, NH 03820-2549
(603) 742-5556
Mailing address
280 MERRIMACK ST STE 311, LAWRENCE, MA 01843-1779
(978) 691-5690
(978) 691-5693

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
056917-23
NH
363L00000X
Nurse Practitioner
255102
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
056917-23
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30344720
NH
05
3076281
NH
Enumeration date
09/01/2006
Last updated
04/05/2022
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