Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEVIN ANNE SULLIVAN, AGACNP
Active Sole ProprietorBEVIN ANNE SULLIVAN, AGACNP is a Family Nurse Practitioner healthcare provider located in STANTEN ISLAND, New York. NPI 1619734183 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · STANTEN ISLAND, NY
Registration Details
- NPI Number
- 1619734183
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2024 (2.4580594759429 yrs)
- Last Updated
- Sep 24, 2024
- Licenses
-
432876 (NY)432876 (NY)432876 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31 TIOGA STREETGROUND FLOORSTANTEN ISLAND, NY, 103014352Browse NY providers · Browse ZIP 10301
- Phone
- 7184500172
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Primary Care Nurse Practitioner
- Additional Specialty
- Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.