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Contact Information

AMY E SULLIVAN, RN, CDE
365 MONTAUK AVE
NEW LONDON, CT06320-4700
 Phone: 860-442-0711
 Fax: 960-444-4775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for AMY E SULLIVAN · (Female)

NPI # 1417182130
Status Active
Credentials RN, CDE
Entity Individual
Enumeration date 05/26/2009
Last updated 05/26/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CT License # E54734
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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