Individual provider · Type 1 NPI
Kathleen Marie Sullivan, NP
Adult Health Nurse Practitioner · Boston, MA
NPI number
1376811828
Active
Practice location
830 Harrison Ave, Moakley, 2nd Floor
Boston, MA 02118-2905
Fax (617) 638-7448
Mailing address
720 Harrison Ave, Dob 503
Boston, MA 02118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN2259252 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1376811828
Kathleen Marie Sullivan, NP's National Provider Identifier is 1376811828, issued on Dec 12, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Apr 28, 2014.