Active NPIIndividual providerSole proprietor

Bejuon A Emanuel, LPN

Licensed Practical Nurse in Dennis Port, Massachusetts

NPI Number1356274500
Practice location
64 Ocean Dr, Dennis Port, MA 02639-2213
Fax
—
Last updated
June 6, 2026

Bejuon Antonio Emanuel is a Licensed Practical Nurse based in Dennis Port, MA. Bejuon Antonio Emanuel practices in Dennis Port, MA and has the professional credentials of LPN. The NPI Number for Bejuon Antonio Emanuel is 1356274500 and holds a License No. LN1004672 (MA). The current practice location address for Bejuon Antonio Emanuel is 64 Ocean Dr, Dennis Port, MA 02639-2213 and can be reached out via phone at 774-810-8120.

Provider Profile Details

NPI Number
1356274500
Provider Name
Bejuon Antonio Emanuel
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
64 Ocean Dr, Dennis Port, MA 02639-2213
Phone Number
774-810-8120
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 6, 2026
Last Update Date
June 6, 2026
Certification Date
June 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Ocean Dr
Dennis Port, MA 02639-2213
Zip
02639-2213
Phone Number
774-810-8120
Dennis Port, MA 02639Get directions →

Provider Business Mailing Address Details

Address
64 Ocean Dr
Dennis Port, MA 02639-2213
City
Dennis Port
State
MA
Zip
02639-2213
Phone Number
774-810-8120

License Information

License Number
LN1004672
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bejuon A Emanuel, LPN?

The NPI number of Bejuon A Emanuel, LPN is 1356274500. It was assigned on June 6, 2026 and is currently active in the NPPES registry.

What is the specialty of Bejuon A Emanuel, LPN?

Bejuon A Emanuel, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN1004672.

Where does Bejuon A Emanuel, LPN practice?

The practice location is 64 Ocean Dr, Dennis Port, MA 02639-2213. The office can be reached at 774-810-8120 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356274500 directly on the NPPES registry website.

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