Individual provider · Type 1 NPI

Amanda Sullivan, L.P.N.

Licensed Practical Nurse · Liberty, NY

NPI number 1912291436 Active

Practice location

364 Lake Marie Rd
Liberty, NY 12754-2924

Call (845) 866-1667 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X286438 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1912291436

Amanda Sullivan, L.P.N.'s National Provider Identifier is 1912291436, issued on Jun 1, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Liberty, NY. The record was last updated on Jun 1, 2011.