Sullivan, Stephanie Schroot

Sullivan, Stephanie Schroot is an individual health care provider with primary practice located at 42 Nashua Road , Londonderry NH 03053. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sullivan, Stephanie Schroot can be contacted via phone (603) 413-6800.

Contact Information

Primary practice address
42 Nashua Road Londonderry NH 03053
Phone: (603) 413-6800
Fax: (603) 413-6803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 080033-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 229133 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X 229133 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 080033-23 New Hampshire

Profile Details

NPI number 1306985783
LBN Legal business name Sullivan, Stephanie Schroot
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jan 17th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1306985783 NPPES
Massachusetts MEDICAID 110085815A
Massachusetts MEDICAID 3126816

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