Tyler Sullivan, RN

NPI 1750922449 · on the registry since 2019

Practice

Address: 14 Porter St
East Boston, MA 02128
Phone: (617) 569-3189
Organisation at this address: North Suffolk Community Services Inc.
North Suffolk Mental Health Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 60

Registry record

Primary taxonomy: 163WP0809X
163WP0809X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts