Provider Demographics
NPI:1497097521
Name:CIRIELLO, SAYRE MCAULIFFE (NP)
Entity Type:Individual
Prefix:
First Name:SAYRE
Middle Name:MCAULIFFE
Last Name:CIRIELLO
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:15 PARKMAN ST
Mailing Address - Street 2:WANG 331, PEDIATRIC NEUROSURGERY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3117
Mailing Address - Country:US
Mailing Address - Phone:617-726-2000
Mailing Address - Fax:617-724-1866
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:WANG 331, PEDIATRIC NEUROSURGERY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-726-2000
Practice Address - Fax:617-724-1866
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2284337363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner