Individual
ELISE MORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121 MYSTIC ST, MEDFORD, MA 02155
(781) 410-4143
Mailing address
121 MYSTIC ST, MEDFORD, MA 02155-3463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2266188
MA
Other
Enumeration date
11/17/2016
Last updated
12/12/2018
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