Individual
BEVERLY SANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13620 38TH AVE STE 6D, FLUSHING, NY 11354-4232
(718) 886-8998
Mailing address
1530 ALA IOLANI PL, HONOLULU, HI 96819-1433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-108112
HI
363LF0000X
Family Nurse Practitioner
Primary
APRN-3878
HI
Other
Enumeration date
07/06/2021
Last updated
08/13/2024
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