LESLIE JANE SULLIVAN NP NPI 1467789958

NPI Information

NPI: 1467789958
Provider Name: LESLIE JANE SULLIVAN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
133 BROOKLINE AVE
HARVARD VANGUARD MEDICAL ASSOCIATES, ADULT TELECOM
BOSTON, MA
ZIP 02215
Phone: (617) 421-1000
Get Directions

Leslie Jane Sullivan, NP is a family nurse practitioner in Boston, MA. Leslie Jane Sullivan, NP NPI is 1467789958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

133 BROOKLINE AVE
HARVARD VANGUARD MEDICAL ASSOCIATES, ADULT TELECOM
BOSTON, MA
ZIP 02215-904
Phone: (617) 421-1000
Fax: (781) 849-2258

The enumeration date for this NPI number is 11/4/2009 and was last updated on 11/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	156010	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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