Provider Demographics
NPI:1881088326
Name:DUPRAT, TULY VAN PREHN (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:TULY
Middle Name:VAN PREHN
Last Name:DUPRAT
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CHELSEA ST APT 405
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-4666
Mailing Address - Country:US
Mailing Address - Phone:857-250-5448
Mailing Address - Fax:
Practice Address - Street 1:201 CHELSEA ST APT 405
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-4666
Practice Address - Country:US
Practice Address - Phone:857-250-5448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula