Individual provider · Type 1 NPI

Maura Ann Sullivan-Moore, ANP

Adult Health Nurse Practitioner · Jamaica Plain, MA

NPI number 1205926508 Active

Practice location

150 S Huntington Ave
Jamaica Plain, MA 02130-4817

Mailing address

175 High St
Duxbury, MA 02332-3428

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X123432 (MA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1205926508

Maura Ann Sullivan-Moore, ANP's National Provider Identifier is 1205926508, issued on Oct 15, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jamaica Plain, MA. The record was last updated on Jul 8, 2007.