Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 056659-23 | NH |
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN2275119 | MA |
NPI | 1003202334 |
---|---|
Provider Name | Elaina Townsend |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2015 |
Last Update Date | 04/10/2016 |