National Provider Identifier
Shayne Sullivan, RN
Shayne Sullivan, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in West Seneca, NY and a listed phone number of (716) 646-0498.
Profile Overview
- NPI
- 1003951484
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- February 21, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1200 E And West RD
- West Seneca, NY 14224-3604
Phone: (716) 646-0498
Mailing Address
- 1454 Cardinal Ct
- Derby, NY 14047-9658
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1003951484
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Shayne
- Credential
- RN
- Mailing Street Address
- 1454 Cardinal Ct
- Mailing City
- Derby
- Mailing State
- NY
- Mailing ZIP Code
- 14047-9658
- Mailing Country
- US
- Mailing Phone
- (716) 947-4531
- Practice Street Address
- 1200 E And West RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3604
- Practice Country
- US
- Practice Phone
- (716) 646-0498
- Practice Fax
- (716) 646-0510
- Enumeration Date
- February 21, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)