Individual
ELLIE M AMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(857) 238-1000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(857) 238-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN10028986
MA
Other
Enumeration date
08/05/2021
Last updated
04/10/2026
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