Individual
MISS MEGHAN MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1901 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 316-2000
Mailing address
518 N MCDOWELL ST, CHARLOTTE, NC 28204-2010
(716) 510-5821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7169
NC
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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