Individual
ELISABETH ANNE BONOCORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 736-2000
Mailing address
663 E 7TH ST APT 3, SOUTH BOSTON, MA 02127-5491
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2378883
MA
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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