Individual
MS. ELLEN ELIZABETH ENDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
940 BELMONT ST, PRIMARY CARE CLINIC (11A), BROCKTON, MA 02301-5596
(508) 583-4500
(774) 826-3157
Mailing address
940 BELMONT ST, PRIMARY CARE CLINIC (11A), BROCKTON, MA 02301-5596
(508) 583-4500
(774) 826-3157
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
145573
MA
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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