Individual provider · Type 1 NPI
Carole E. Sullivan, CRNP
Family Nurse Practitioner · Gaithersburg, MD
NPI number
1609350982
Active
Practice location
201 Perry Parkway Suite 5
Gaithersburg, MD 20877
Mailing address
3719 Gelderland Ct
Olney, MD 20832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R191548 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609350982
Carole E. Sullivan, CRNP's National Provider Identifier is 1609350982, issued on Sep 21, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gaithersburg, MD. The record was last updated on Nov 4, 2021.