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

MRS. MARY ELLEN SULLIVAN, GNP-BC

Active

MRS. MARY ELLEN SULLIVAN, GNP-BC is a Gerontological Nurse Practitioner healthcare provider located in COLUMBIA, South Carolina. NPI 1861676942 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · COLUMBIA, SC

Registration Details

NPI Number
1861676942
Provider Type
Individual
Gender
Female
NPI Issued
Dec 25, 2007 (18.591933165655 yrs)
Last Updated
Nov 9, 2022
License
3428 (SC)

Practice Information

Address
111 DOCTOR CIR
COLUMBIA, SC, 292036502
Browse SC providers · Browse ZIP 29203
Phone
8004910909
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

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MRS. KATHLEEN WEATHERFORD HOGAN APRN GPN 1124031836
LESLIE JAMES HELLENGA 1609206630
MR. RYAN BAKER NP 1821480047
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.