Individual provider · Type 1 NPI

Elizabeth A. Clancy

Nurse Practitioner · Boston, MA

NPI number 1104381045 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Mailing address

9 Partridge Way
Canton, MA 02021-2252

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN270927 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104381045

Elizabeth A. Clancy's National Provider Identifier is 1104381045, issued on Feb 5, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Apr 19, 2019.