Organization · Type 2 NPI
Iris Sullivan MD PC
Family Nurse Practitioner · Fitchburg, MA
NPI number
1306137518
Active
Practice location
46 Whalon Street
Fitchburg, MA 01420
Fax (978) 342-4600
Mailing address
46 Whalon
Fitchburg, MA 01420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN281239 (MA) |
Family Nurse Practitioner: Definition to come...
About NPI 1306137518
Iris Sullivan MD PC's National Provider Identifier is 1306137518, issued on Apr 21, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fitchburg, MA. The record was last updated on Apr 21, 2011.