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Contact Information

STEPHANIE S SULLIVAN, FNP-BC
42 NASHUA ROAD
LONDONDERRY, NH03053
 Phone: 603-413-6800
 Fax: 603-413-6803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STEPHANIE S SULLIVAN · (Female)

NPI # 1306985783
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/05/2007
Last updated 01/17/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 229133
  • NH License # 080033-23
  • MA Medicaid 110085815A
  • NH Medicaid 3126816
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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