Sullivan, Nancy M
Sullivan, Nancy M is an individual health care provider with primary practice located at 2000 Washington St Suite 546, Newton Lower Falls MA 02462-1650. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sullivan, Nancy M can be contacted via phone (617) 964-5020.Contact Information
Primary practice address
2000 Washington St Suite 546
Newton Lower Falls MA 02462-1650
Phone: (617) 964-5020
Fax: (617) 964-3033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 147345 | Massachusetts |
Profile Details
| NPI number | 1679644900 |
|---|---|
| LBN Legal business name | Sullivan, Nancy M |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679644900 | NPPES |
| Massachusetts | Other | NP2386 | BLUE SHIELD |
| Massachusetts | MEDICAID | 0320226 | BLUE SHIELD |
| Massachusetts | Other | 8301986 | BLUE SHIELD |
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