Organization · Type 2 NPI

Envision Elite Wellness

Psychiatric/Mental Health Nurse Practitioner · Boston, MA

NPI number 1104533603 Active

Practice location

50 Congress St Ste 636
Boston, MA 02109-4241

Call (617) 916-6212 Map

Mailing address

147 Jersey St
Marblehead, MA 01945-1346

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104533603

Envision Elite Wellness's National Provider Identifier is 1104533603, issued on Nov 3, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boston, MA. The record was last updated on Nov 3, 2022.