Individual
MS. CATHERINE D ELIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1574 MAIN ST, TEWKSBURY, MA 01876-2067
(978) 323-2819
(978) 323-2820
Mailing address
1574 MAIN ST, TEWKSBURY, MA 01876-2067
(978) 323-2819
(978) 323-2820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
151127
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M15184
BCBSMA NUMBER
MA
Enumeration date
03/28/2006
Last updated
10/28/2020
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