Healthcare Provider Details

I. General information

NPI: 1558296475
Provider Name (Legal Business Name): HEATHER SYLVIA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MALL RD
BURLINGTON MA
01805-0001
US

IV. Provider business mailing address

4 WASHINGTON ST APT 402
HAVERHILL MA
01832-5791
US

V. Phone/Fax

Practice location:
  • Phone: 781-744-8110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberRN2363200
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: