Individual
KATHERINE LEMAIRE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 342-8499
Mailing address
1253 MCGAVOCK PIKE, NASHVILLE, TN 37216-3117
(615) 349-5936
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
214711
TN
363L00000X
Nurse Practitioner
Primary
30489
TN
363LA2100X
Acute Care Nurse Practitioner
30489
TN
Other
Enumeration date
09/27/2019
Last updated
01/25/2022
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