Individual
MS. MARY MARTHA MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
736 CAMBRIDGE STREET, BRIGHTEN, MA 02135
(617) 789-3000
Mailing address
109 RING ROAD, KINGSTON, MA 02364
(617) 688-4555
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN232160
MA
363LF0000X
Family Nurse Practitioner
Primary
RN232160
MA
Other
Enumeration date
02/21/2022
Last updated
03/21/2025
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