Doctor Name: | MS. SYLVIA JOSEPHINE TULLER |
NPI Number: | 1124164454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 109359 |
Business Practice Address: | Simon's Rock College 84 Alford Road Great Barrington, MA - 01230 |
Business Phone Number: | 4135287419 |
Business Fax Number: | 4135287358 |
Mailing Address: | 35 Parkview Ter, LEE |
State: | MA |
Postal Code: | 012389419 |
Phone Number: | 4132439165 |
Fax Number: | 4135287358 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LS0200X |
License Number: | 109359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | School |
Taxonomy Definition: |