Individual
ELIZABETH MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 606-2645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01608
RI
363A00000X
Physician Assistant
Primary
PA102124
MA
Other
Enumeration date
06/19/2023
Last updated
01/09/2026
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