Individual provider · Type 1 NPI
Kelley Elizabeth Thornton, NP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1497487706
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
186 W. 7th Street, Unit #3
Boston, MA 02127
Other practice locations
- 97 Pearl Street, Braintree, MA 02184 · (781) 848-5437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN2301229 (MA) |
| Pediatric Surgery Physician | 2086S0120X | RN2301229 (MA) |
| Nurse Practitioner | 363L00000X | RN2301229 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2301229 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1497487706
Kelley Elizabeth Thornton, NP's National Provider Identifier is 1497487706, issued on Jun 27, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jun 10, 2025.