Individual
RYAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1 PARKWAY, HAVERHILL, MA 01830-6278
(978) 521-3250
(978) 469-5336
Mailing address
17 ASHCROFT TER, GROVELAND, MA 01834-2007
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2296000
MA
Other
Enumeration date
08/31/2015
Last updated
09/16/2015
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