Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL GREGORY SULLIVAN, RN
Active Sole ProprietorICF/Individuals with Intellectual Disabilities · QUINCY, MA
Registration Details
- NPI Number
- 1881074896
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2015 (10.881720007085 yrs)
- Last Updated
- Jun 4, 2015
- License
-
RN2284306 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 HOBOMACK RDQUINCY, MA, 021692508Browse MA providers · Browse ZIP 02169
- Phone
- 6177737329
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
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.