Provider Demographics
NPI:1326014093
Name:HALEY-CIULLA, ELEANOR M (NP)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:M
Last Name:HALEY-CIULLA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 NEW CROSSING ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-1314
Mailing Address - Country:US
Mailing Address - Phone:781-944-1166
Mailing Address - Fax:781-944-1168
Practice Address - Street 1:30 NEWCROSSING RD
Practice Address - Street 2:SUITE 310
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3254
Practice Address - Country:US
Practice Address - Phone:781-944-1166
Practice Address - Fax:781-944-1168
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA166520363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health