Individual
ELIZABETH WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
89 ACCESS RD, NORWOOD, MA 02062-5229
(781) 551-0999
Mailing address
89 ACCESS RD, NORWOOD, MA 02062-5229
(781) 551-0999
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2309243
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2309243
BOARD OF NURSING
MA
Enumeration date
09/14/2012
Last updated
02/20/2020
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