Individual provider · Type 1 NPI
Yardley Marcelluy
Psychiatric/Mental Health Nurse Practitioner · East Boston, MA
NPI number
1730864299
Active
Practice location
14 Porter St
East Boston, MA 02128-2116
Mailing address
1428 Blue Hill Ave Apt 2
Mattapan, MA 02126-2695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2268999 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1730864299
Yardley Marcelluy's National Provider Identifier is 1730864299, issued on Jun 21, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in East Boston, MA. The record was last updated on Jun 21, 2023.