Individual provider · Type 1 NPI

Eleanor Margaret Sullivan

Gerontology Nurse Practitioner · Baltimore, MD

NPI number 1831748193 Active

Practice location

4940 Eastern Ave
Baltimore, MD 21224-2735

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XR140635 (MD)
Gerontology Nurse Practitioner Primary 363LG0600XR140635 (MD)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1831748193

Eleanor Margaret Sullivan's National Provider Identifier is 1831748193, issued on Sep 10, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Baltimore, MD. The record was last updated on Oct 5, 2022.