Individual
ELIZABETH RUSSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 267-0900
Mailing address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 267-0900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN207002
MA
Other
Enumeration date
12/17/2009
Last updated
12/12/2019
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