Provider Demographics
NPI:1578814000
Name:BULL, SABRINA LYNN (LPN)
Entity Type:Individual
Prefix:MISS
First Name:SABRINA
Middle Name:LYNN
Last Name:BULL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-3008
Mailing Address - Country:US
Mailing Address - Phone:518-592-2361
Mailing Address - Fax:
Practice Address - Street 1:31 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-3008
Practice Address - Country:US
Practice Address - Phone:518-592-2361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276403164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse