Beverly Sann
Nurse Practitioner, Family in Flushing, NY. Individual provider (NPI-1).
NPI number1982275475
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1982275475
- Entity type
- Individual (NPI-1)
- Name
- Beverly Sann
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2021
- Certification date
- Aug 13, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN-3878 | HI | Yes |
| 163W00000X | Registered Nurse | RN-108112 | HI |
Practice location
13620 38th Ave Ste 6dFlushing, NY 11354-4232
Phone 718-886-8998
Mailing address
1530 Ala Iolani PlHonolulu, HI 96819-1433
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