Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TARA ROBERTA SULLIVAN, RN,IBCLC,LCCE
Active Sole ProprietorMRS. TARA ROBERTA SULLIVAN, RN,IBCLC,LCCE is a Lactation Consultant Nurse healthcare provider located in DEARBORN, Michigan. NPI 1841814456 is currently active in the NPPES registry. Verify at CMS.
Lactation Consultant Nurse · DEARBORN, MI
Registration Details
- NPI Number
- 1841814456
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2020 (6.1707618242016 yrs)
- Last Updated
- May 31, 2020
- License
-
4704245099 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24808 BOSTON STDEARBORN, MI, 481244411Browse MI providers · Browse ZIP 48124
- Phone
- 3136184206
- Primary Specialty
-
Lactation Consultant Nurse
163WL0100X
Other Lactation Consultant Nurse Providers in DEARBORN, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. LISA MARIE LEVY | RN, IBCLC | 1386119477 |
| MRS. REBECCA ADRIANA JOHNSTON | RN, IBCLC | 1649051814 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.