Individual
MS. ELEANOR MARY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
71 WILDER ST, SUITE 5, LOWELL, MA 01854-3097
(978) 934-4991
(978) 934-3080
Mailing address
31 SAWYER ST, 1L, METHUEN, MA 01844-2241
(978) 794-0920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75424
MA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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