Mary A Sullivan, PCNS
NPI #1386662484 in Providence, Rhode Island
Provider Information
- NPI Number
- 1386662484
- Entity Type
- Individual
- Name
- Mary A Sullivan, PCNS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- PCNS
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Feb 2, 2012
Practice Location
- Address
- 50 MAUDE ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02908-4325
- Phone
- (401) 456-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Nurse Practitioner - Gerontology — Gerontology |
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