Individual provider · Type 1 NPI
Thomas Edward Masullo, MSN, CRNP-BC
Psychiatric/Mental Health Nurse Practitioner · Collingswood, NJ
NPI number
1821756057
Active
Practice location
900 Haddon Ave Ste 134
Collingswood, NJ 08108-2110
Fax (856) 903-3450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NR16342900 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP024997 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Collingswood
About NPI 1821756057
Thomas Edward Masullo, MSN, CRNP-BC's National Provider Identifier is 1821756057, issued on Dec 6, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Collingswood, NJ. The record was last updated on Jun 22, 2026.