Individual
MS. KELLY ELISHA TRECARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BIGALOW 852 F, BOSTON, MA 02114-2621
(617) 726-7400
(617) 726-4149
Mailing address
55 FRUIT ST, BIGALOW 852 F, BOSTON, MA 02114-2621
(617) 726-7400
(617) 726-4149
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN214741
MA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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