Individual
ELISABETH ANN FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-PC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 335-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
173110
CT
163W00000X
Registered Nurse
RN2348548
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2348548
MA
Other
Enumeration date
08/23/2022
Last updated
09/26/2022
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