Individual provider · Type 1 NPI

Kristin Marie Sullivan, PA-C

Physician Assistant · Boston, MA

NPI number 1194076620 Active

Practice location

125 Parker Hill Ave, Converse 4
Boston, MA 02120-2847

Fax (617) 754-6026

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA4454 (MA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194076620

Kristin Marie Sullivan, PA-C's National Provider Identifier is 1194076620, issued on Sep 24, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Jan 10, 2017.