Healthcare Provider Details

I. General information

NPI: 1215722129
Provider Name (Legal Business Name): TERESA FLYNN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CHIEF JUSTICE CUSHING HWY
SCITUATE MA
02066-3229
US

IV. Provider business mailing address

600 CHIEF JUSTICE CUSHING HWY
SCITUATE MA
02066-3229
US

V. Phone/Fax

Practice location:
  • Phone: 781-545-8725
  • Fax:
Mailing address:
  • Phone: 781-545-8725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN269345
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: