Individual provider · Type 1 NPI

Mary A. Sullivan, PCNS

Gerontology Nurse Practitioner · Providence, RI

NPI number 1386662484 Active

Practice location

50 Maude St
Providence, RI 02908-4325

Call (401) 456-2000 Map

Fax (401) 456-6554

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	PPNS00073 (RI)
Gerontology Nurse Practitioner Primary	363LG0600X	21544 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1386662484

Mary A. Sullivan, PCNS's National Provider Identifier is 1386662484, issued on Jul 17, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Providence, RI. The record was last updated on Feb 2, 2012.