Individual
MARGARET MOSS ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
950 WINTER ST, SUITE 3800, WALTHAM, MA 02451-1424
(781) 472-8592
Mailing address
950 WINTER ST, SUITE 3800, WALTHAM, MA 02451-1424
(781) 801-3897
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
216415
MA
Other
Enumeration date
01/15/2007
Last updated
04/14/2015
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