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MARYELLEN TETREAULT
NPI 1609410927
Nurse Practitioner - Pediatrics in Westborough, MA

Active since October 30, 2019
288 LYMAN ST, WESTBOROUGH, MA 01581(508) 475-2696 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maryellen Tetreault NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYELLEN TETREAULT (NPI 1609410927) is an individual pediatrics provider in Westborough, Massachusetts, licensed in Massachusetts (RN2309070) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1609410927
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARYELLEN TETREAULT
Location Address288 LYMAN STWestborough, MA 01581-2664
Mailing Address463 Hollis StFramingham, MA 01702-8647 · (774) 276-6188
Phone(508) 475-2696
Sole ProprietorNo
Enumeration DateOctober 30, 2019
✔ NPI 1609410927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MA · RN2309070
288 LYMAN ST, Westborough, MA 01581
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMONWEALTH OF MASSACHUSETTS-DMH
Case Management
288 LYMAN ST
WESTBOROUGH, MA 01581
Worcester County (508) 616-2805
MS. CASEY C PRYOR M.A.
Counselor (Mental Health)
288 LYMAN ST, WESTBORO RECEPTION UNIT
WESTBOROUGH, MA 01581
Worcester County (508) 475-2779
DR. WILLIAM J. A. O'BRIEN PSY.D
Psychologist
288 LYMAN ST, SECOND FLOOR
WESTBOROUGH, MA 01581
Worcester County (508) 475-2626
DR. STEVEN STRASSBERG PH.D
Psychologist (Clinical)
288 LYMAN ST, WESTBOROUGH STATE HOSPITAL
WESTBOROUGH, MA 01581
Worcester County (508) 616-2100
DR. MONICA FERRARO PH.D.
Psychologist (Clinical)
288 LYMAN ST
WESTBOROUGH, MA 01581
Worcester County (508) 475-2733
MR. JAMES JOSEPH ANTONELLIS LMHC
Counselor (Mental Health)
288 LYMAN ST
WESTBOROUGH, MA 01581
Worcester County (508) 614-2029
KENNETH P MITCHELL JR. M.D.
Psychiatry & Neurology (Psychiatry)
288 LYMAN ST, WESTBOROUGH STATE HOSPITAL
WESTBOROUGH, MA 01581
Worcester County (508) 616-3503
BRITTNEY JAYNE VAN DE WATER PNP
Nurse Practitioner (Pediatrics)
288 LYMAN ST, DYS MEDICAL
WESTBOROUGH, MA 01581
Worcester County (774) 442-5642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryellen Tetreault's NPI number?

The NPI number for Maryellen Tetreault is 1609410927. It was assigned to this individual provider in the NPPES registry on October 30, 2019.

Where is Maryellen Tetreault located?

Maryellen Tetreault practices at 288 Lyman St, Westborough, MA 01581. The listed phone number is (508) 475-2696.

What is Maryellen Tetreault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Maryellen Tetreault was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.