Ms. Ellen E Sampson
Nurse Practitioner - Psychiatric/Mental Health
1261 Furnace Brook Pkwy Suite 31
Quincy
, Massachusetts 02169
Ms. Ellen E Sampson
Nurse Practitioner - Psychiatric/Mental Health
1261 Furnace Brook Pkwy Suite 31
Quincy
, Massachusetts 02169
(617) 479-4555
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Ms. Ellen E Sampson
- 18 Preston Rd
- West Roxbury, MA
- Zip : 02132-2815
- Fax : (617) 479-4555
- Phone : (617) 325-1054
Second Address
- Ms. Ellen E Sampson
- 1261 Furnace Brook Pkwy Suite 31
- Quincy, MA
- Zip : 02169
- Fax : (617) 479-4555
- Phone : (617) 479-4545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 172153 | MA |
National Provider Identifier
| NPI | 1023022662 |
|---|---|
| Provider Name | Ms. Ellen E Sampson |
| First Address | West Roxbury, MA 02132-2815 |
| Second Address | Quincy, MA 02169 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 26/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0708020 | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.