Sullivan, Mary A

Sullivan, Mary A is an individual health care provider with primary practice located at 50 Maude St , Providence RI 02908-4325. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Sullivan, Mary A can be contacted via phone (401) 456-2000.

Contact Information

Primary practice address
50 Maude St Providence RI 02908-4325
Phone: (401) 456-2000
Fax: (401) 456-6554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PPNS00073 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 21544 California

Profile Details

NPI number 1386662484
LBN Legal business name Sullivan, Mary A
Credentials PCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 2nd, 2012 - about 14 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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