Individual
MRS. TARA ROBERTA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC,LCCE
Contact information
Practice address
24808 BOSTON ST, DEARBORN, MI 48124-4411
(313) 618-4206
Mailing address
24808 BOSTON ST, DEARBORN, MI 48124-4411
(313) 618-4206
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
4704245099
MI
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us