Individual provider · Type 1 NPI
Tyler Matthew Sullivan, RN
Adult Psychiatric/Mental Health Registered Nurse · East Boston, MA
NPI number
1750922449
Active
Practice location
14 Porter St
East Boston, MA 02128
Mailing address
178 Cedar St
Wellesley, MA 02481-5513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | RN2295420 (MA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1750922449
Tyler Matthew Sullivan, RN's National Provider Identifier is 1750922449, issued on Oct 3, 2019. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in East Boston, MA. The record was last updated on Oct 3, 2019.