| Doctor Name: | MARJORIE OLSEN SULLIVAN |
| NPI Number: | 1063547669 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN,APRN,BC |
| License Number: | 135918 |
| Business Practice Address: | 231 Forest Street Babson College Health Services Babson Park, MA - 024570310 |
| Business Phone Number: | 7812394257 |
| Business Fax Number: | 7812395069 |
| Mailing Address: | 141 Forest St, WELLESLEY |
| State: | MA |
| Postal Code: | 024816811 |
| Phone Number: | 7812354803 |
| Fax Number: | 7812375507 |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 135918 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |