Healthcare Provider Details

I. General information

NPI: 1932698354
Provider Name (Legal Business Name): CECILIA RYLL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2018
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 LITTLETON RD STE 1B
WESTFORD MA
01886-3530
US

IV. Provider business mailing address

234 LITTLETON RD STE 1B
WESTFORD MA
01886-3530
US

V. Phone/Fax

Practice location:
  • Phone: 781-797-7274
  • Fax: 216-284-2844
Mailing address:
  • Phone: 781-797-7274
  • Fax: 216-284-2844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2331172
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number077841-23
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number101.0133215
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: