Individual
MRS. ELISABETH S HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7200
(617) 654-7165
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7200
(617) 654-7165
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
257269
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0799939
—
MA
Enumeration date
06/14/2006
Last updated
01/28/2021
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