Sullivan, Amanda Rose

Sullivan, Amanda Rose is an individual health care provider with primary practice located at 86 Baker Ave Extension Suite 100, Concord MA 01742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Sullivan, Amanda Rose can be contacted via phone (978) 369-1113.

Contact Information

Primary practice address
86 Baker Ave Extension Suite 100 Concord MA 01742
Phone: (978) 369-1113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2262691 Massachusetts

Profile Details

NPI number 1063968709
LBN Legal business name Sullivan, Amanda Rose
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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