Individual
ELIZABETH KELSEY MACNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
185 PILGRIM RD, BOSTON, MA 02215-5324
(617) 632-1131
Mailing address
122 ALDRICH ST, ROSLINDALE, MA 02131-2750
(857) 366-1268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2282565
MA
Other
Enumeration date
06/14/2020
Last updated
11/27/2023
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