Individual provider · Type 1 NPI

Dana R. Sullivan, MSN, RN, CPNP-PC

Pediatric Nurse Practitioner · Providence, RI

NPI number 1689124109 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

125 Whipple St
Providence, RI 02908-3258

Other practice locations

  • 152 Oxbow Rd, Wayland, MA 01778-1028 · (508) 397-7181

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1170573 (MA)
Pediatric Nurse Practitioner 363LP0200X20162082 (MA)
Pediatric Nurse Practitioner Primary 363LP0200XAPRN01627 (RI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1689124109

Dana R. Sullivan, MSN, RN, CPNP-PC's National Provider Identifier is 1689124109, issued on Oct 7, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Providence, RI. The record was last updated on Jul 21, 2022.