Gillingham, Tyler Zachary

Gillingham, Tyler Zachary is an individual health care provider with primary practice located at 142 Berkeley St , Boston MA 02116-5100. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gillingham, Tyler Zachary can be contacted via phone (617) 247-7555.

Contact Information

Primary practice address
142 Berkeley St Boston MA 02116-5100
Phone: (617) 247-7555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X RN2328949 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2328949 Massachusetts

Profile Details

NPI number 1952936353
LBN Legal business name Gillingham, Tyler Zachary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2020
Last updated Aug 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers