person
Mrs. Tara Roberta Sullivan, RN,IBCLC,LCCE
Lactation Consultant (Registered Nurse) in Dearborn, Michigan
NPI 1841814456

Tara Roberta Sullivan is a Lactation Consultant (Registered Nurse) based in Dearborn, MI and is specialized in Lactation Consultant. Tara Roberta Sullivan practices in Dearborn, MI and has the professional credentials of RN,IBCLC,LCCE. The NPI Number for Tara Roberta Sullivan is 1841814456 and holds a License No. 4704245099 (Michigan).

The current practice location address for Tara Roberta Sullivan is 24808 Boston St, Dearborn, MI and can be reached out via phone at 313-618-4206. You can also correspond with Tara Roberta Sullivan through the mailing address at 24808 BOSTON ST, DEARBORN, MI - 48124-4411 (mailing address contact number: 313-618-4206).

Location: 24808 Boston St, Dearborn, MI, 48124-4411
person
Provider Profile Details
NPI Number
1841814456
Provider Name
Tara Roberta Sullivan
Credential
RN,IBCLC,LCCE
Provider Entity Type
Individual
Gender
Female
Address
24808 Boston St, Dearborn, MI, 48124-4411
Phone Number
313-618-4206
Fax Number
Provider Enumeration Date
05/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24808 Boston St
City
State
Zip
48124-4411
Phone Number
313-618-4206
Fax Number
person
Provider Business Mailing Address Details
Address
24808 Boston St
City
State
Zip
48124-4411
Phone Number
313-618-4206
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
License No.
4704245099 (Michigan)
Definition
Definition to come...
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