Individual provider · Type 1 NPI
Mahnaz Sullivan-Davachi, NP
Family Nurse Practitioner · Beacon, NY
NPI number
1740448604
Active
Practice location
Prospect Street, Fillkish Correctional Facility Box #307
Beacon, NY 12527
Mailing address
PO Box 836
Glenham, NY 12527-0836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F333492 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1740448604
Mahnaz Sullivan-Davachi, NP's National Provider Identifier is 1740448604, issued on May 28, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beacon, NY. The record was last updated on May 28, 2008.