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.
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)
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)