Individual
ELISHA JILL HISOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
344 GREAT RD, ACTON, MA 01720-4004
(978) 264-9130
Mailing address
162 CYPRESS ST, WATERTOWN, MA 02472-4220
(617) 259-6590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2269787
MA
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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