Individual
CARA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-6800
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-6800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2268377
MA
363LF0000X
Family Nurse Practitioner
RN2268377
MA
Other
Enumeration date
07/27/2022
Last updated
04/27/2023
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