Individual
MRS. RYAN SULLIVAN TAMARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215
(617) 632-3800
(617) 632-1930
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 632-3800
(617) 632-1930
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2283429
MA
363LP2300X
Primary Care Nurse Practitioner
RN2283429
MA
Other
Enumeration date
09/14/2016
Last updated
10/26/2018
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