MS. MAUREEN ANNE SULLIVAN LPN
NPI 1679753610
Licensed Practical Nurse in Somers, NY

Active since November 07, 2007
105 KRYSTAL DR, SOMERS, NY 10589(914) 589-9897 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Maureen Anne Sullivan Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MAUREEN ANNE SULLIVAN LPN (NPI 1679753610) is an individual licensed practical nurse in Somers, New York, licensed in New York (2732121) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1679753610
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. MAUREEN ANNE SULLIVANCredential: LPN
Location Address105 KRYSTAL DRSomers, NY 10589-3038
Mailing Address29 Livonia DrPatterson, NY 12563-8911 · (845) 279-7344
Sole ProprietorYes
Enumeration DateNovember 7, 2007
NPI 1679753610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 2732121
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
105 KRYSTAL DR, Somers, NY 10589

Other Identifiers 1

Medicaid02587511NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maureen Sullivan's NPI number?

The NPI number for Maureen Sullivan is 1679753610. It was assigned to this individual provider in the NPPES registry on November 7, 2007.

Where is Maureen Sullivan located?

Maureen Sullivan practices at 105 Krystal Dr, Somers, NY 10589. The listed phone number is (914) 589-9897.

What is Maureen Sullivan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Maureen Sullivan was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.