Madison Sullivan
Madison Sullivan is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
593 Eddy StProvidence, RI 02903-4923
Phone: (401) 793-2695
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1881393544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 1, 2023 |
| Last updated in NPPES | May 18, 2026 |
| Certification date | May 18, 2026 |
| Mailing address | 593 Eddy St, Providence, RI 02903-4923 |
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