Sullivan, Tyler Ashley

Sullivan, Tyler Ashley is an individual health care provider with primary practice located at 1 Kettle Point Ave , East Providence RI 02914-5375. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sullivan, Tyler Ashley can be contacted via phone (401) 453-9032.

Contact Information

Primary practice address
1 Kettle Point Ave East Providence RI 02914-5375
Phone: (401) 453-9032
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00970 Rhode Island

Profile Details

NPI number 1760917207
LBN Legal business name Sullivan, Tyler Ashley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2017
Last updated Oct 5th, 2021 - about 3 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.

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