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Individual

MS. ELISABETH BLACKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
246 WALNUT ST, SUITE 104, NEWTON, MA 02460-1689
(617) 244-3322
Mailing address
2114 AUBURN RD, TURNER, ME 04282-3426
(207) 224-7050

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP91070
ME

Other

Enumeration date
10/20/2009
Last updated
08/25/2014
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