Individual provider · Type 1 NPI
Ellen Miller-Mack, NP
Women's Health Nurse Practitioner · Springfield, MA
NPI number
1215085238
Active
Practice location
11 Wilbraham Rd
Springfield, MA 01109-3161
Fax (413) 794-9595
Mailing address
280 Chestnut St, 2nd Floor
Springfield, MA 01199-1001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | RN130468 (MA) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1215085238
Ellen Miller-Mack, NP's National Provider Identifier is 1215085238, issued on Jan 8, 2007. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Springfield, MA. The record was last updated on Oct 18, 2021.