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Individual
LISA MARIE RULLIE
Active
Individual
LISA MARIE RULLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019042883
MA
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
2019042883
MA
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2019042883
MA
Other
Enumeration date
10/17/2012
Last updated
03/10/2026
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