| Doctor Name: | CARRIE A SULLIVAN |
| NPI Number: | 1023447158 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN262277 |
| Business Practice Address: | 433 W Main St Hyannis, MA - 026013644 |
| Business Phone Number: | 5087784777 |
| Business Fax Number: | 5087719555 |
| Mailing Address: | 8 Skerry Rd, SOUTH DENNIS |
| State: | MA |
| Postal Code: | 02660 |
| Phone Number: | 5087784777 |
| Fax Number: | 5087719555 |
| NPI Enumeration Date: | 11/08/2013 |
| NPI Last Update Date: | 10/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN262277 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |