Individual
ELLERY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-4042
Mailing address
20 OAK GROVE AVE UNIT 111, MELROSE, MA 02176-6127
(908) 528-6764
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2301049
MA
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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