Individual
ELISE KATHLEEN BERRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7800
Mailing address
7 SEAPORT DR APT 525, QUINCY, MA 02171-1579
(617) 966-1993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2279400
MA
363LP0200X
Pediatric Nurse Practitioner
RN2279400
MA
Other
Enumeration date
02/27/2019
Last updated
02/12/2024
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