Bevin Anne Sullivan, AGACNP - Nurse Practitioner in Stanten Island, NY

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Bevin Anne Sullivan, AGACNP is a Nurse Practitioner - Family based in Stanten Island, New York. Bevin Anne Sullivan is licensed to practice in New York (license number 432876) and her current practice location is 31 Tioga Street, Ground Floor, Stanten Island, New York. She can be reached at her office (for appointments etc.) via phone at (718) 450-0172.

NPI number for Bevin Anne Sullivan is 1619734183 and her current mailing address is 31 Tioga Street, Ground Floor, Stanten Island, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619734183.

Contact Information

Bevin Anne Sullivan, AGACNP
31 Tioga Street, Ground Floor,
Stanten Island, NY 10301-4352
(718) 450-0172
Not Available

Map and Direction




Provider's Profile

Full NameBevin Anne Sullivan
GenderFemale
SpecialityNurse Practitioner - Family
Location31 Tioga Street, Stanten Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619734183
  • Provider Enumeration Date: 03/01/2024
  • Last Update Date: 09/24/2024

Medical Identifiers

Medical identifiers for Bevin Anne Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619734183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 432876 (New York)Secondary
363LP2300XNurse Practitioner - Primary Care 432876 (New York)Secondary
363LF0000XNurse Practitioner - Family 432876 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bevin Anne Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bevin Anne Sullivan, AGACNP
31 Tioga Street, Ground Floor,
Stanten Island, NY 10301-4352

Ph: () -		Bevin Anne Sullivan, AGACNP
31 Tioga Street, Ground Floor,
Stanten Island, NY 10301-4352

Ph: (718) 450-0172

Reviews and Comments


Nurse Practitioner Nurses in Stanten Island, NY


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