Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN1008784 | DC |
NPI | 1174031462 |
---|---|
Provider Name | Meghan Kearns Sullivan |
First Address | Arlington, VA 22203-1747 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2018 |
Last Update Date | 20/01/2018 |