Individual provider · Type 1 NPI
Amanda Rose Sullivan, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Concord, MA
NPI number
1063968709
Active
Practice location
86 Baker Ave Extension, Suite 100
Concord, MA 01742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2262691 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1063968709
Amanda Rose Sullivan, PMHNP-BC's National Provider Identifier is 1063968709, issued on Sep 1, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Concord, MA. The record was last updated on Sep 1, 2016.