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

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