National Provider Identifier
Canaverell Sullivan
Canaverell Sullivan is listed in the NPPES registry with a primary specialty of Pediatric Registered Nurse in Rochester, NY and a listed phone number of (585) 435-7727.
Profile Overview
- NPI
- 1467830521
- Provider Type
- Individual
- Primary Specialty
- Pediatric Registered Nurse
- Enumeration Date
- May 09, 2015
- Last Updated
- May 09, 2015
Practice Location
- 1047 Emerson St Apt D
- Rochester, NY 14606-2744
Phone: (585) 435-7727
Specialties
- Pediatric Registered Nurse (163WP0200X)
Full Record
- NPI
- 1467830521
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Canaverell
- Mailing Street Address
- 1047 Emerson St Apt D
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-2744
- Mailing Country
- US
- Mailing Phone
- (585) 435-7727
- Practice Street Address
- 1047 Emerson St Apt D
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-2744
- Practice Country
- US
- Practice Phone
- (585) 435-7727
- Enumeration Date
- May 09, 2015
- Last Updated
- May 09, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Registered Nurse (163WP0200X)