Individual
MS. ELLEN RAE LUNDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
680 CENTRE STREET, BROCKTON, MA 02302
(508) 941-7000
Mailing address
60 DEAN STREET, SOUTH EASTON, MA 02375
(508) 577-9516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN118852
MA
163WE0003X
Emergency Registered Nurse
RN118852
MA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN118852
MA
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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