BEVIN ANNE SULLIVAN AGACNP NPI 1619734183

NPI Information

  • NPI: 1619734183
  • Provider Name: BEVIN ANNE SULLIVAN, AGACNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 31 TIOGA STREET
    GROUND FLOOR
    STANTEN ISLAND, NY
    ZIP 10301
  • Phone: (718) 450-0172

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NPI Details

Bevin Anne Sullivan, AGACNP is a family nurse practitioner in Stanten Island, NY. Bevin Anne Sullivan, AGACNP NPI is 1619734183. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

31 TIOGA STREET
GROUND FLOOR
STANTEN ISLAND, NY
ZIP 10301-352
Phone: (718) 450-0172

The enumeration date for this NPI number is 3/1/2024 and was last updated on 9/24/2024.

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
1363LA2100XNurse PractitionerAcute Care432876NEW YORKNo
2363LP2300XNurse PractitionerPrimary Care432876NEW YORKNo
3363LF0000XNurse PractitionerFamily432876NEW YORKYes

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: 11/21/2025

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