Individual
ELIZABETH HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8079
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2298012
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2298012
MA
Other
Enumeration date
07/14/2022
Last updated
10/14/2024
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