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Alyse Marie Sullivan, NP
Women's Health Clinical Nurse Specialist in Antioch, Tennessee
NPI 1811777105

Alyse Marie Sullivan is a Women's Health Clinical Nurse Specialist based in Antioch, TN and is specialized in Women's Health. Alyse Marie Sullivan practices in Antioch, TN and has the professional credentials of NP. The NPI Number for Alyse Marie Sullivan is 1811777105 and holds a License No. SULL-MEKDS (Tennessee).

The current practice location address for Alyse Marie Sullivan is 950 Brittany Park Dr Apt 423, Antioch, TN and can be reached out via phone at 530-848-2648.

Location: 950 Brittany Park Dr Apt 423, Antioch, TN, 37013-5065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811777105
Provider Name
Alyse Marie Sullivan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
950 Brittany Park Dr Apt 423, Antioch, TN, 37013-5065
Phone Number
530-848-2648
Fax Number
Provider Enumeration Date
10/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
950 Brittany Park Dr Apt 423
City
Antioch
State
Tennessee
Zip
37013-5065
Phone Number
530-848-2648
Fax Number
person
Provider Business Mailing Address Details
Address
950 Brittany Park Dr Apt 423
City
Antioch
State
Tennessee
Zip
37013-5065
Phone Number
530-848-2648
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Women's Health
Taxonomy
364SW0102X
License No.
SULL-MEKDS (North Carolina)
Definition
Definition to come...
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