Individual
ELIZABETH A MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
253 SUMMER ST, 5TH FLR - CMA, BOSTON, MA 02210-1114
(888) 897-8947
(617) 772-5519
Mailing address
169 HOLLY RD, MARSHFIELD, MA 02050-1725
(888) 897-8947
(617) 772-5519
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
91062
MA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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