Individual
TONYA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1301 RIVERFRONT PKWY STE 209, CHATTANOOGA, TN 37402-3312
(423) 634-2341
Mailing address
1301 RIVERFRONT PKWY, CHATTANOOGA, TN 37402-2233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN218649
TN
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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