Individual provider · Type 1 NPI

Mary Ellen Obert, PNP

Pediatric Nurse Practitioner · Boston, MA

NPI number 1679719264 Active

Practice location

55 Fruit St, Cox 662
Boston, MA 02114-2621

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X217554 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1679719264

Mary Ellen Obert, PNP's National Provider Identifier is 1679719264, issued on Jan 2, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jan 2, 2009.