Individual
LISA ELLINGSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, MSN
Contact information
Practice address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 737-1426
Mailing address
59 LAUREL PARK, NORTHAMPTON, MA 01060-1196
(413) 231-2878
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2302944
MA
Other
Enumeration date
10/19/2021
Last updated
10/25/2021
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