National Provider Identifier

Bebielyn A Sullivan, LPN

Bebielyn A Sullivan, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 752-0001.

NPI 1780299834Brockport, NYLicensed Practical Nurse

Source: public NPPES record, last updated September 14, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1780299834
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 14, 2020
Last Updated
September 14, 2020

Practice Location

  • 736 East Ave
  • Brockport, NY 14420-1751

Phone: (585) 752-0001

Specialties

  • Licensed Practical Nurse (164W00000X)

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Biography

Bebielyn A. Sullivan is a licensed practical nurse based in Brockport, New York. A public provider profile identifies her as an LPN with an active practice license; stronger public details about her training, affiliations, or prior roles were not available from higher-authority sources.

Full Record
NPI
1780299834
Entity Type
Individual
Last Name
Sullivan
First Name
Bebielyn
Middle Name
A
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
736 East Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1751
Mailing Country
US
Mailing Phone
(585) 752-0001
Practice Street Address
736 East Ave
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1751
Practice Country
US
Practice Phone
(585) 752-0001
Enumeration Date
September 14, 2020
Last Updated
September 14, 2020
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
September 14, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)