NPI Profile for LISA M RULLIE in MARLBOROUGH, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Child & Family |
364SP0810X | 89 | Certified Clinical Nurse Specialist | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health, Child & Adolescent |
364SP0807X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1649523523 |
|
| Status | Active | |
| Credentials | PMHNP | |
| Entity | Individual | |
| Enumeration date | 10/17/2012 | |
| Last updated | 03/10/2026 - About 3 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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LISA M RULLIE
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