Provider Demographics
NPI:1124164454
Name:TULLER, SYLVIA JOSEPHINE (NP)
Entity type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:JOSEPHINE
Last Name:TULLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:35 PARKVIEW TER
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:MA
Mailing Address - Zip Code:01238-9419
Mailing Address - Country:US
Mailing Address - Phone:413-243-9165
Mailing Address - Fax:413-528-7358
Practice Address - Street 1:SIMON'S ROCK COLLEGE
Practice Address - Street 2:84 ALFORD ROAD
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230
Practice Address - Country:US
Practice Address - Phone:413-528-7419
Practice Address - Fax:413-528-7358
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA109359363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool