Provider Demographics
NPI:1346017365
Name:SYLIANT, MEDGINE (RN)
Entity Type:Individual
Prefix:
First Name:MEDGINE
Middle Name:
Last Name:SYLIANT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 UNION ST STE 304
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-1348
Mailing Address - Country:US
Mailing Address - Phone:978-203-9191
Mailing Address - Fax:978-203-9195
Practice Address - Street 1:270 UNION ST STE 304
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1348
Practice Address - Country:US
Practice Address - Phone:978-203-9191
Practice Address - Fax:978-203-9195
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2363730163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health