Active NPIIndividual provider

Tyler M Sullivan, RN

Registered Nurse, Psych/Mental Health, Adult in East Boston, Massachusetts

NPI Number1750922449
Practice location
14 Porter St, East Boston, MA 02128
Fax
—
Last updated
October 3, 2019

Tyler Matthew Sullivan is a Registered Nurse, Psych/Mental Health, Adult based in East Boston, MA. Tyler Matthew Sullivan practices in East Boston, MA and has the professional credentials of RN. The NPI Number for Tyler Matthew Sullivan is 1750922449 and holds a License No. RN2295420 (MA). The current practice location address for Tyler Matthew Sullivan is 14 Porter St, East Boston, MA 02128 and can be reached out via phone at 617-569-3189.

Provider Profile Details

NPI Number
1750922449
Provider Name
Tyler Matthew Sullivan
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
14 Porter St, East Boston, MA 02128
Phone Number
617-569-3189
Primary Taxonomy
Registered Nurse, Psych/Mental Health, Adult · 163WP0809X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2019
Last Update Date
October 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Porter St
East Boston, MA 02128
Zip
02128
Phone Number
617-569-3189
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
178 Cedar St
Wellesley, MA 02481-5513
City
Wellesley
State
MA
Zip
02481-5513
Phone Number
978-912-1967

License Information

License Number
RN2295420
License State
MA
Taxonomy
Registered Nurse, Psych/Mental Health, Adult · 163WP0809X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tyler M Sullivan, RN?

The NPI number of Tyler M Sullivan, RN is 1750922449. It was assigned on October 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Tyler M Sullivan, RN?

Tyler M Sullivan, RN is registered under the primary taxonomy Registered Nurse, Psych/Mental Health, Adult (code 163WP0809X), licensed in MA under license number RN2295420.

Where does Tyler M Sullivan, RN practice?

The practice location is 14 Porter St, East Boston, MA 02128. The office can be reached at 617-569-3189 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750922449 directly on the NPPES registry website.

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