Individual
ELIZABETH-ANN SOCCORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 POWERS ST, BEVERLY, MA 01915-2748
(978) 922-3000
(978) 524-6072
Mailing address
100 POWERS ST, BEVERLY, MA 01915-2748
(978) 922-3000
(978) 524-6072
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
129052
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300080
—
MA
Enumeration date
09/22/2006
Last updated
07/09/2007
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