MISS ALTHEA LAVERNIE BULLEN RN NPI 1134398209

NPI Information

  • NPI: 1134398209
  • Provider Name: MISS ALTHEA LAVERNIE BULLEN, RN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 1557 FIFTH AVE APT 252
    BAYSHORE, NY
    ZIP 11706
  • Phone: (631) 582-3409

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NPI Details

MISS Althea Lavernie Bullen, RN is a home health registered nurse in Bayshore, NY. MISS Althea Lavernie Bullen, RN NPI is 1134398209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1557 FIFTH AVE APT 252
BAYSHORE, NY
ZIP 11706-441
Phone: (631) 582-3409

The enumeration date for this NPI number is 2/22/2008 and was last updated on 4/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse328093NEW YORKNo
2163WH0200XRegistered NurseHome Health328093NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101242497MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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