Individual provider · Type 1 NPI
Mary-Alice M. Tully, NP
Nurse Practitioner · Boston, MA
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Fax (617) 730-0495
Mailing address
5 Parsons St
Newburyport, MA 01950-3005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 137943 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1164535829
Mary-Alice M. Tully, NP's National Provider Identifier is 1164535829, issued on Aug 16, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.