Individual provider · Type 1 NPI

Maryellen Belisle, APRN

Family Nurse Practitioner · Boston, MA

NPI number 1508892001 Active

Practice location

98 N Washington St Ste 107
Boston, MA 02114-1913

Call (617) 921-0962 Map

Mailing address

57 Elm St
Charlestown, MA 02129-2421

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X051433-23-02 (NH)
Family Nurse Practitioner Primary 363LF0000XRN206958 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1508892001

Maryellen Belisle, APRN's National Provider Identifier is 1508892001, issued on Jun 25, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Feb 18, 2025.