MARYELLEN SULLIVAN

WALTHAM, MA
NPI1306812086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MA  142612)
Enumeration Date2006-02-23
Last Update Date2015-09-17
Business Address
-- MARYELLEN SULLIVAN NP
950 WINTER STREET
WALTHAM, MA 02451
Phone number: 781-472-8787
Mailing Address
-- MARYELLEN SULLIVAN NP
1200 CENTRE ST DEPT. OF MEDICINE
ROSLINDALE, MA 02131-1011
Phone number: 617-363-8010