Maureen Anne Sullivan LPN

NPI 1679753610 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1679753610
Gender Female
Enumeration Date 11/07/2007
Last Updated 11/07/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
105 KRYSTAL DR
SOMERS NY, 10589-3038, US
Phone (914) 589-9897
Fax
Business Location
29 LIVONIA DR
PATTERSON NY, 12563-8911, US
Phone (845) 279-7344
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 2732121
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According to our database, Ms. Maureen Anne Sullivan LPN NPI is 1679753610, taxonomy code is 164W00000X and license number is 2732121, license state is located at New York. Maureen Anne Sullivan LPN physically located at 105 Krystal Dr, Somers NY, 10589-3038. NPI Number Maureen Anne Sullivan LPN has the Individual type.

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1679753610 NPI number is provided on an as is basis without warranty of any kind. 1679753610 is maintained by the National Plan & Provider Enumeration System. The contents of Maureen Anne Sullivan LPN are for informational purposes only.