Individual
ELISE KRISTEN MCINERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1285 BEACON ST, BROOKLINE, MA 02446-5237
(617) 751-6205
Mailing address
24 WILLOW AVE APT 1, SOMERVILLE, MA 02144-3160
(617) 435-5899
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2316484
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2316484
MA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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