Individual
ELLEN M CROMPTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
242 BAKER AVE, CONCORD, MA 01742-2127
(978) 287-9300
(978) 287-9304
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
112291
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
112291
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366170
—
MA
01
—
AA4368
HARVARD PILGRIM
MA
01
—
NP0686
BLUE CROSS
MA
Enumeration date
04/24/2006
Last updated
09/11/2025
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