Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tara Roberta Sullivan, RN, IBCLC, LCCE

Individual provider Lactation Consultant (Registered Nurse) · NPI 1841814456

Mrs. Tara Roberta Sullivan, RN, IBCLC, LCCE is a Lactation Consultant (Registered Nurse) in Dearborn, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

24808 Boston St
Dearborn, MI 48124-4411
Phone: (313) 618-4206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence 4704245099 (MI)

Record details

NPI number1841814456
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , IBCLC , LCCE
Sole proprietorYes
NPI enumeratedMay 31, 2020
Last updated in NPPESMay 31, 2020
Certification dateMay 31, 2020

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