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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MARY SHEILA SULLIVAN, M.ED, RD, CSR, LDN

Active Sole Proprietor

MS. MARY SHEILA SULLIVAN, M.ED, RD, CSR, LDN is a Renal Nutrition healthcare provider located in WILBRAHAM, Massachusetts. NPI 1508315961 is currently active in the NPPES registry. Verify at CMS.

Renal Nutrition · WILBRAHAM, MA

Registration Details

NPI Number
1508315961
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2016 (9.888786706777 yrs)
Last Updated
Sep 27, 2016
Licenses
121 (MA)
121 (MA)
Sole Proprietor
Yes

Practice Information

Address
16 RAYMOND DR
WILBRAHAM, MA, 010952606
Browse MA providers · Browse ZIP 01095
Phone
4135372426
Primary Specialty
Renal Nutrition
133VN1005X
Additional Specialty
Renal Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.