Sullivan, Maryellen

Sullivan, Maryellen is an individual health care provider with primary practice located at 950 Winter Street , Waltham MA 02451. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Sullivan, Maryellen can be contacted via phone (781) 472-8787.

Contact Information

Primary practice address
950 Winter Street Waltham MA 02451
Phone: (781) 472-8787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 142612 Massachusetts

Profile Details

NPI number 1306812086
LBN Legal business name Sullivan, Maryellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Sep 17th, 2015 - about 9 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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