Individual
ELISSA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
375 FORTUNE BLVD, MILFORD, MA 01757-1723
(508) 478-7752
Mailing address
375 FORTUNE BLVD, MILFORD, MA 01757-1723
(508) 478-7752
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN274831
MA
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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