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Mary F Sullivan, FAMILYNURSEPRACTIT
Nurse Practitioner in Worcester, Massachusetts
NPI 1043220049

Mary F Sullivan is a Nurse Practitioner based in Boston, MA. Mary F Sullivan practices in Worcester, MA and has the professional credentials of FAMILYNURSEPRACTIT. The NPI Number for Mary F Sullivan is 1043220049 and holds a License No. 124312 (Massachusetts).

The current practice location address for Mary F Sullivan is 116 Belmont St, Worcester, MA and can be reached out via phone at 508-334-1102.

Location: 116 Belmont St, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043220049
Provider Name
Mary F Sullivan
Credential
FAMILYNURSEPRACTIT
Provider Entity Type
Individual
Gender
Female
Address
116 Belmont St, Worcester, MA, 02241-5348
Phone Number
508-334-1102
Fax Number
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1913 01 MA BCBS
0715930 05 MA
institution
Provider Business Practice Location Address Details
Address
116 Belmont St
City
Worcester
State
Massachusetts
Zip
01605-2964
Phone Number
508-334-1102
Fax Number
person
Provider Business Mailing Address Details
Address
116 Belmont St
City
Worcester
State
Massachusetts
Zip
01605-2964
Phone Number
508-334-1102
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN124312 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
124312 (Massachusetts)
Definition
Definition to come...
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