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Joanne Marie Sullivan, NP
Gerontology Nurse Practitioner in Waltham, Massachusetts
NPI 1427113539

Joanne Marie Sullivan is a Gerontology Nurse Practitioner based in Waltham, MA and is specialized in Gerontology. Joanne Marie Sullivan practices in Waltham, MA and has the professional credentials of NP. The NPI Number for Joanne Marie Sullivan is 1427113539 and holds a License No. 225133 (Massachusetts).

The current practice location address for Joanne Marie Sullivan is 950 Winter St, Waltham, MA and can be reached out via phone at 781-472-8515.

Location: 950 Winter St, Waltham, MA, 02451-1424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427113539
Provider Name
Joanne Marie Sullivan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
950 Winter St, Waltham, MA, 02451-1424
Phone Number
781-472-8515
Fax Number
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0374130 05 MA
institution
Provider Business Practice Location Address Details
Address
950 Winter St
City
Waltham
State
Massachusetts
Zip
02451-1424
Phone Number
781-472-8515
Fax Number
person
Provider Business Mailing Address Details
Address
950 Winter St
City
Waltham
State
Massachusetts
Zip
02451-1424
Phone Number
781-472-8515
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
225133 (Massachusetts)
Definition
Definition to come...
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