Individual provider · Type 1 NPI
Bevin Anne Sullivan, AGACNP
Family Nurse Practitioner · Stanten Island, NY
NPI number
1619734183
Active
Practice location
31 Tioga Street, Ground Floor
Stanten Island, NY 10301-4352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 432876 (NY) |
| Primary Care Nurse Practitioner | 363LP2300X | 432876 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 432876 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1619734183
Bevin Anne Sullivan, AGACNP's National Provider Identifier is 1619734183, issued on Mar 1, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stanten Island, NY. The record was last updated on Sep 24, 2024.