Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 64782 | TN |
NPI | 1154749794 |
---|---|
Provider Name | Rachel Sullivan |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-4875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2014 |
Last Update Date | 31/01/2022 |