Active NPIIndividual providerSole proprietor

Maura A Sullivan-Moore, ANP

Nurse Practitioner, Adult Health in Jamaica Plain, Massachusetts

NPI Number1205926508
Practice location
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Fax
—
Last updated
July 8, 2007

Maura Ann Sullivan-Moore is a Nurse Practitioner, Adult Health based in Jamaica Plain, MA. Maura Ann Sullivan-Moore practices in Jamaica Plain, MA and has the professional credentials of ANP. The NPI Number for Maura Ann Sullivan-Moore is 1205926508 and holds a License No. 123432 (MA). The current practice location address for Maura Ann Sullivan-Moore is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 and can be reached out via phone at 617-232-9500.

Provider Profile Details

NPI Number
1205926508
Provider Name
Maura Ann Sullivan-Moore
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Phone Number
617-232-9500
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
October 15, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Zip
02130-4817
Phone Number
617-232-9500
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
175 High St
Duxbury, MA 02332-3428
City
Duxbury
State
MA
Zip
02332-3428
Phone Number
781-585-2076

License Information

License Number
123432
License State
MA
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Adult Health providers near Jamaica Plain, MA

View all Nurse Practitioner, Adult Health providers in Jamaica Plain →

Frequently Asked Questions

What is the NPI number of Maura A Sullivan-Moore, ANP?

The NPI number of Maura A Sullivan-Moore, ANP is 1205926508. It was assigned on October 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Maura A Sullivan-Moore, ANP?

Maura A Sullivan-Moore, ANP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number 123432.

Where does Maura A Sullivan-Moore, ANP practice?

The practice location is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817. The office can be reached at 617-232-9500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205926508 directly on the NPPES registry website.

Browse related providers