Individual provider · Type 1 NPI
Susan Tully-Young, RNC
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Westbrook, ME
NPI number
1487827309
Active
Practice location
16 Saunders Way
Westbrook, ME 04092-4833
Fax (207) 797-6137
Mailing address
PO Box 1768
Portland, ME 04104-1768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | RO34651 (ME) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1487827309
Susan Tully-Young, RNC's National Provider Identifier is 1487827309, issued on Apr 11, 2008. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Westbrook, ME. The record was last updated on Aug 21, 2013.