Individual provider · Type 1 NPI
Sabra Sullivan, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · West Springfield, MA
NPI number
1366875437
Active
Practice location
103 Myron St, Suite A
West Springfield, MA 01089-1598
Fax (413) 439-0100
Mailing address
90 Undine Rd, Apt. 1
Brighton, MA 02135-3812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN284172 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1366875437
Sabra Sullivan, PMHNP-BC's National Provider Identifier is 1366875437, issued on Aug 13, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Springfield, MA. The record was last updated on Aug 13, 2013.