Individual
ELYSE PLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 COMPASS WAY, SUITE 200, EAST BRIDGEWATER, MA 02333-1465
(508) 350-2300
(508) 350-2309
Mailing address
362 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1148
(508) 350-2350
(508) 350-2318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN265193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110098777A
—
MA
01
—
1255754644
BLUE CROSS & BLUE SHEILD OF MASS
MA
01
—
S400159223
MEDICARE
MA
Enumeration date
01/21/2014
Last updated
09/28/2015
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