person
Mary A Sullivan, PCNS
Gerontology Nurse Practitioner in Providence, Rhode Island
NPI 1386662484

Mary A Sullivan is a Gerontology Nurse Practitioner based in Providence, RI and is specialized in Gerontology. Mary A Sullivan practices in Providence, RI and has the professional credentials of PCNS. The NPI Number for Mary A Sullivan is 1386662484 and holds a License No. PPNS00073 (Rhode Island).

The current practice location address for Mary A Sullivan is 50 Maude St, Providence, RI and can be reached out via phone at 401-456-2000 and via fax at 401-456-6554.

Location: 50 Maude St, Providence, RI, 02908-4325
person
Provider Profile Details
NPI Number
1386662484
Provider Name
Mary A Sullivan
Credential
PCNS
Provider Entity Type
Individual
Gender
Female
Address
50 Maude St, Providence, RI, 02908-4325
Phone Number
401-456-2000
Fax Number
401-456-6554
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
50 Maude St
City
State
Zip
02908-4325
Phone Number
401-456-2000
Fax Number
401-456-6554
person
Provider Business Mailing Address Details
Address
50 Maude St
City
State
Zip
02908-4325
Phone Number
401-456-2000
Fax Number
401-456-6554
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
21544 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
PPNS00073 (Rhode Island)
Definition
Definition to come...
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