Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivelisse Sully

Individual provider Technician · NPI 1942551742

Ivelisse Sully is a Technician in Worcester, Massachusetts. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

19 Tacoma St
Worcester, MA 01605-2010
Phone: (508) 852-1805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician (primary) Taxonomy 374700000X

Record details

NPI number1942551742
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2012
Last updated in NPPESOctober 2, 2012
Mailing address19 Tacoma St, Worcester, MA 01605-3516

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